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目的探讨经皮肝穿胆管引流术(PTCD)治疗恶性梗阻性黄疸的护理方法以及并发症的预防。方法回顾性分析本院2006—2010年对30例恶性梗阻性黄疸患者行胆管引流术的护理情况。结果术后引流管堵塞重新置管2例,一般状态差,术前发热,术中出现寒战、高热,被迫终止手术的1例,成功的27例。结论经皮肝穿胆管引流术是对失去外科治疗机会的患者行姑息性治疗或者为外科手术创造条件的最好方法,创伤小,并发症少。充分的术前准备、严密细致的术后观察与护理,是提高疗效、缩短住院时间的重要措施,减少并发症的必备条件。
Objective To investigate the nursing methods and prevention of malignant obstructive jaundice by percutaneous transhepatic biliary drainage (PTCD). Methods The clinical data of 30 patients with malignant obstructive jaundice undergoing biliary drainage in our hospital from 2006 to 2010 were analyzed retrospectively. Results Postoperative drainage tube occlusion re-catheterization in 2 cases, the general state is poor, preoperative fever, intraoperative chills, fever, was forced to terminate the operation in 1 case, the successful 27 cases. Conclusions Percutaneous transhepatic biliary drainage is the best method of palliative treatment or surgical condition creation for patients who have lost their chances of surgical treatment with less trauma and fewer complications. Adequate preoperative preparation, careful and meticulous postoperative observation and nursing, is to improve the efficacy and shorten the hospitalization of important measures to reduce the complication of prerequisites.