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目的总结内镜治疗消化内镜诊疗相关性穿孔患者的效果及护理方法。方法回顾性分析117例消化内镜诊疗相关性穿孔患者内镜下治疗的效果及护理方法。结果 117例患者中116例在内镜下闭合成功,1例不成功,转外科手术治疗后痊愈。116例内镜下闭合成功患者中有1例术后当天出现急性腹膜炎转外科手术治疗且痊愈。结论对于消化内镜诊疗相关性穿孔,内镜下治疗可使穿孔完全闭合,避免外科手术。而护士密切观察病情、加强心理及基础护理,术中娴熟准确配合医生,能降低手术并发症,保障手术安全。
Objective To summarize the effect of endoscopic treatment of digestive endoscopy diagnosis and treatment of patients with perforation and nursing methods. Methods Retrospective analysis of 117 cases of endoscopic diagnosis and treatment of gastrointestinal endoscopy-related effects of endoscopic treatment and nursing methods. Results Of the 117 patients, 116 were successfully closed under endoscopy, one was unsuccessful and were cured after surgery. Of the 116 patients with successful endoscopic closure, 1 developed acute peritonitis on the day after surgery and were cured. Conclusions For endoscopic diagnosis and treatment of digestive endoscopy, endoscopic treatment of perforation can be completely closed, to avoid surgery. The nurses closely observe the condition, strengthening psychological and basic nursing, skilled and accurate with the doctor, can reduce surgical complications and ensure the safety of surgery.