Do you know what to pay attention to when doing percutaneous transhepatic biliary drainage?

Routine nursing continuously monitors the patient's temperature, pulse, respiration and blood pressure, and makes records. Stay in bed for 4 ~ 6 hours, and the slope position of 30 is suitable. Keep the dressing at the puncture site dry after operation, and observe whether there is blood leakage or leakage. Observe whether the drainage tube and skin puncture point are fixed at any time. After fasting for 8 hours, patients can eat light soft food or liquid food without discomfort, and avoid spicy, rough and irritating food, and adjust their diet according to the characteristics of stool. People without diarrhea can enter a high-protein, high-calorie, low-fat, vitamin-rich and digestible diet. Pain: Because PTCD puncture belongs to local anesthesia, drainage tube should be placed after operation, and whether the patient has symptoms such as subxiphoid process, pain at abdominal puncture point, abdominal distension and discomfort should be closely observed. If necessary, analgesic drugs should be used to teach patients the correct methods of coughing and expectoration. Pipeline nursing should properly fix the drainage tube, explain the matters needing attention of the drainage tube to patients and their families, prevent the drainage tube from being twisted, blocked and falling off due to external force, and keep the drainage tube unobstructed. Do not exercise vigorously in bed, cough hard or defecate hard to avoid the drainage tube coming out. Replace the negative pressure drainage bag every day, and pay strict attention to aseptic operation when replacing it to prevent retrograde bile duct infection caused by infection of drainage tube interface. Change the dressing every day, and change it in time if there is exudation. The drainage bag is fixed 20 ~ 750 px below the puncture point to prevent retrograde infection caused by drainage fluid backflow. Observe the quantity and nature of drainage fluid closely. If the drainage volume decreases or no drainage liquid is discharged, check whether the pipeline is compressed, twisted or blocked, and report to the doctor in time. Those who still have poor drainage after treatment should be operated in time according to the patient's condition.