iary drainageENBD)是胆汁外引流术的一种,它是在内镜的引导下,将一根引流管经十二指肠乳头开口置入胆管内,并通过鼻腔引出,将胆汁引起体外,达到胆汁引流通畅,胆管减压与减轻黄疸的目的。?非计划性拔(脱)管(Unplanned Extubation UE)是指导管意外脱落或未经医护人员同意患者将导管拔除也包括医护人员操作不当所致拔管。?参考文献:?[1]Chen CM,Chan KS,Fong Y,et al.Age is an important predictor offailed unplanned extubation[J].Internation Journal of Gerontology,2010,4(3):120-129.?[2] Mion LC,Minnick AF,Leipzig RM,et al.Patient-initiated deviceremoval in intensive care units:A national prevalence study[J].Critical Care Medicine,2007,35(12):2714-2720.二、主题选定降低ENBD术后鼻胆管非计划性拔管率?国外UE的发生率为2.8-20.6%?国内UE的发生率为3.6%-15.5%?各类导管UE中,患者自主拔除占76%-92%?参考文献: Mion LC,Minnick AF,Leipzig RM,et al.Patient-initiated deviceremoval in intensive care units:A national prevalence study[J].Critical Care Medicine,2007,35(12):2714-2720.NO!危害?延长住院时间?增加胆道感染机率?严重影响肝功能恢复二、主题选定
全文预览
