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目的探讨重症急性胰腺炎(SAP)早期经皮穿刺置管引流的护理,摸索出一套早期经皮穿刺置管引流的护理方法与技巧。方法对27例经皮穿刺置管SAP患者进行观察与护理。结果经皮穿刺引流术后引流时间(21.2±9.7)d,术后住院时间(48.2±12.5)d。27例患者均达到预期引流效果。25例治愈出院,2例死于多器官功能障碍综合征(MODS)。25例患者均达到预期引流效果。结论经皮穿刺置管引流是SAP早期治疗中安全可行的方法,用微创的方法达到引流的目的。
Objective To investigate the nursing of early percutaneous puncture and drainage of severe acute pancreatitis (SAP) and find out a set of nursing methods and techniques of early percutaneous puncture and catheter drainage. Methods 27 cases of SAP patients undergoing percutaneous catheterization were observed and nursing. Results The drainage time after percutaneous drainage was 21.2 ± 9.7 days and the postoperative hospital stay was 48.2 ± 12.5 days. 27 patients achieved the expected drainage effect. Twenty-five patients were cured and 2 died of multiple organ dysfunction syndrome (MODS). Twenty-five patients achieved the expected drainage effect. Conclusion Percutaneous catheter drainage is a safe and feasible method for early treatment of SAP, with the purpose of drainage with minimally invasive method.