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目的：探讨内镜逆行胰胆管造影术( ERCP )下介入治疗高龄患者在胆道碎石、取石、支架放置等治疗中的效果和护理启示。方法回顾18例高龄患者行ERCP术的护理配合,总结高龄患者在ERCP术中的使用技巧及治疗与护理配合注意事项和护理启示。结果18例高龄患者中13例ERCP治疗成功,4例置入支架,1例失败。结论随着科技水平及内镜医师技术提高和加强护理配合,强化安全措施是对高龄急重患者开展ERCP介入治疗取得诊疗成功又一不可忽视的关键。

Objective To explore the therapeutic effect and nursing revelation of ERCP interventional therapy in biliary lithotripsy, biliary stone extraction, and stent placement. Methods We reviewed nursing cooperation of 18 elderly patients with ERCP surgery, and summarized the matters needing attention and nursing revelation of ERCP treatment in elderly patients. Results 13 cases were successfully in 18 elderly patients treated with ERCP, 4 cases of stents placement were successful, and 1 case of failure.Conclusions With the improvement of scientific and technological level and nursing cooperation, strengthening safety measures is the key to the success of ERCP intervention in the treatment of elderly urgent patients.