在由常见胆道石块引起的急性胆道炎中,周末镜护理连续体
Rabbinu Rangga Pribadi1, Vesri Yoga, Manu Tandan
1Division of Gastroenterology, Pancreatobiliary, and Digestive Endoscopy, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.. rabbinurangga@gmail.com.
Acta medica Indonesiana
|July 16, 2024
概括
急性胆道炎 (AC) 是一种严重的胆道感染,需要全面管理. 这包括内镜前的护理,内镜逆行胆血管细胞造影 (ERCP) 用于减压和石头去除,以及内镜后的监测.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 急性胆道炎 (AC) 是一种严重的胆道感染,死亡率高.
- 胆道阻塞,通常是由于常见的胆道 (CBD) 石头,是AC的主要原因.
- 诊断是根据2018年东京指南指导的.
研究的目的:
- 概述一个全面的周末镜护理连续来管理CBD石头引起的急性胆管炎.
- 详细介绍前内镜,内镜和后内镜护理的基本组成部分.
- 强调对AC的安全和有效的内镜干预.
主要方法:
- 管理遵循围内镜护理连续:前内镜,内镜和后内镜阶段.
- 前内镜护理包括支持性治疗,抗生素和ERCP准备.
- 内镜管理侧重于胆管去压和通过ERCP提取石头,使用特定的技术来进行安全的注射管和最小的对比注射.
主要成果:
- ERCP是用于胆管减压和CBD石头去除的主要内镜干预.
- 像内镜胆管缩切除术和气球扩张等手术是安全有效的.
- 当没有进行石头提取时,鼻管和塑料支架是减压的可行选择.
结论:
- 结构化的周末镜护理方法对于最佳的AC管理至关重要.
- 在ERCP期间仔细选择患者和程序技术将风险降到最低.
- 内镜后的护理确保对不良事件和治疗疗效的监测.
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