首页|肝胆外科手术后胆漏的原因及防治分析

肝胆外科手术后胆漏的原因及防治分析

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目的:探讨肝胆外科手术胆漏原因,提出针对性的防治措施。方法:回顾性分析某院肝胆外科手术后并发胆漏30例,总结治疗方法与结局。结果:保守治疗20例,T管脱落者4例,瘘口重置T管,T管引流不畅者12例,反复冲洗,积存胆汁过多者,B超声介导下腹部穿刺引流,治愈率达到100.00%;手术治疗10例,6例保守治疗引流不畅转手术,4例症状较重,行急诊手术,住院期间治愈率达到100.00%;2例患者出院后胆漏复发,再次冲洗后恢复正常。结论:对症治疗、冲管、瘘口置管、手术是治疗胆漏的主要方法,医院应据患者病情酌情施用。
Objective: To investigate the cause of bile leakage hepatobiliarysurgery, proposed targeted prevention measures.Methods:A retrospective analysis of a hospital after galbladder surgery complicated by bile leakage in 30 cases, treatment methods and outcomes are summarized. Results: Conservativetreatment of 20 cases, T tube off in 4 cases, reset the T-tube, T-tube drainageimpeded in 12 cases, repeatedly washed by excessive accumulation of bile, Bultrasound-mediated drainage of the lower abdomen, the cure rate reached100.00 %; surgical treatment of 10 cases, six cases of poor drainage turnconservative surgical treatment, four cases of severe symptoms, underwent emergency surgery, the cure rate reached 100.00 percent during hospitalization;2 patients relapse after discharge bile leakage, rinse again returned to normal.Conclusion: Symptomatic treatment, red tube, tube fistula, surgery is the main method of treatment of bile leakage, hospitals should be administered according to the patient's condition discretion.

Hepatobiliary Surgerybile leakageprevention measures

肝胆外科 胆漏 防治措施

2014

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2014.(6)
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