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小儿经内窥镜逆行胰胆管造影(简称ERCP)是小儿先天性、后天性胆道和胰管疾患的一种检查方法。我院已施行了33例,并在ERCP检查前后的护理方面有了一些体会。其中ERCP检查前的护理包括患儿准备,生命体征的观测,心理护理,变换体位的指导,胃肠道准备,检查前用药及内窥镜的准备。检查后的护理,根据年龄不同有所侧重,婴幼儿重点放在哭闹分析和ERCP检查前后的症状和体征的变化上;年长儿重点放在心理护理上。总之,严格精心的护理对保证ERCP检查的成功和预防并发症的发生都是非常重要的。
Pediatric endoscopic retrograde cholangiopancreatography (ERCP) is a method of examination of congenital and acquired biliary and pancreatic ductal disorders in children. Our hospital has implemented 33 cases, and in the ERCP examination before and after the nursing has some experience. Among them, the pre-ERCP examinations include preparation for children, observation of vital signs, psychological care, guidance for changing body position, preparation for gastrointestinal tract, pre-test medication and endoscope preparation. After the examination of care, according to different age have focused, infants and young children focus on cry analysis and ERCP before and after changes in symptoms and signs; older children focus on psychological care. In short, strict and meticulous care is very important to ensure the success of ERCP examination and prevention of complications.