摘要目的 探讨介入治疗胰十二指肠切除术后出血的护理配合,提高护理质量.方法 总结18例胰十二指肠切除术后出血的患者行介入治疗,包括脾动脉栓塞、胃十二指肠动脉残端栓塞、肝动脉栓塞、经导管肠系膜上动脉分支垂体后叶素灌注、肝动脉覆膜支架置入,总结护理配合经验.结果 所有患者共行介入治疗29次,16例患者末次介入治疗后均未再发出血,2例患者血管造影未发现明确出血征象亦未行预防性栓塞治疗,再次开腹后证实为消化道溃疡出血,经手术切除溃疡部位后未再发出血.结论 胰十二指肠切除术后晚期出血患者病情复杂,导管室护师在配合介入医生行栓塞止血时,需要准备物品齐全,加强理论知识,做好预见性护理.

abstractsObjective To summary the nursing cooperation experience during interventional radiology treatment for patients with haemorrhage after pancreatoduodenectomy in order to enhance the quality of care.Methods Eighteen patients with haemorrhage after pancreaticoduodenecomy treated with interventional radiology. The nursing cooperation during interventional radiology treatment for pancreatoduodenectomy haemorrhage was summarized. Results Eighteen patients performed 29 interventional procedures. Haemorrhage was ceased in 16 cases after the last time of interventional radiology treatment. In addition, haemorrhage did not occurred in other 2 cases after treated with surgery. Conclusions The patients' conditions of haemorrhage post pancreaticoduodenecomy were complicated, so the nurses in catheter lab should prepare carefully, strengthen the interventional knowledge and do the predictable nursing care.