EUS-FNA+ stent implantation for pancreatic fluid drainage combined with multidisciplinary treatmentand postoperative nursing were performed for pancreatic pseudocyst
胰腺假性囊肿行EUS-FNA+支架植入胰液引流术后联合多学科治疗及术后护理

摘要

胰腺假性囊肿是一种常见的肝脏疾病，其临床表现为右上腹区疼痛和不适感。近年来，越来越多的研究表明，在胰腺假性囊肿患者中，使用超声引导下进行内窥镜检查（EUS）并结合纤维支架植入胰液引流的方法可以有效地缓解症状，并且具有较高的治愈率。本文总结1例胰腺假性囊肿患者行EUS-FNA+支架置入术后的多学科治疗和护理体会。护理要点：多学科协作组建应急反应团队；出血倾向的观察与护理；多模式营养支持方案的实施；电解质监测与护理；医疗器械性压力损伤的护理；个体化心理护理。患者术后104天病情平稳后康复出院。本文总结了该例患者的临床资料、诊断和治愈标准、治疗和转归以及护理要点，以期为临床提供参考。

Abstract

Pancreatic pseudocysts are a common liver disorder that presents clinically with pain and discomfort in the right upper abdominal region. In recent years, more and more studies have shown that the use of ultrasound-guided endoscopy (EUS) combined with fibre-optic stent implantation for pancreatic fluid drainage in patients with pancreatic pseudocysts can provide effective symptomatic relief and has a high cure rate. This article summarises the multidisciplinary treatment and nursing experience of a patient with pancreatic pseudocyst after EUS-FNA+stent placement. Nursing points: multidisciplinary collaboration to form an emergency response team; observation and care of bleeding tendency; implementation of multimodal nutritional support programme; electrolyte monitoring and care; care of medical device pressure injury; individualized psychological care. The patient recovered and was discharged from the hospital after 104 days postoperatively in stable condition. This article summarises the clinical data, diagnostic and curative criteria, treatment and regression as well as nursing points of this case, with a view to providing clinical reference.