摘要
目的探讨医源性胆道损伤的预防和处理。方法回顾分析22例医源性胆道损伤的原因及治疗方法。结果行胆管空肠Rouxy吻合11例、胆管对端吻合4例、胆管修补2例、胆道引流或单纯腹腔引流5例;1例LC致胆总管损伤胆漏,中毒性休克死亡,1例CC术后腹腔引流的多脏器功能衰竭死亡,其余均治愈。结论医源性胆道损伤的原因较多,应尽早发现,及时处理。
Objective To explore the methods of prevention and treatment of the iatrogenic biliary-tract injury. Methods 22 cases with the iatrogenic biliary-tract injury were analyzed retrospectively. Results Modified Roux-en-Y choledochojejunostomy was performed in 11 cases, end-to-end anastomosis of bile duct in 4 cases, repair of bile duct in 2 cases, a drainage of the inter bile duct and the abdominal cavity in 5 cases. Only 1 case of common bile duct injury after laparoscopic cholecystectoy was death from the toxic shock, another case of bile duct injury after conventional cholecystectoy with the drainage of abdominal cavity was death from multiple system organ failure, all of the other patients were cured. Conelusion The iatrogenic biliary-tract injury may be causes variously, and should be discovered as soon as possible and be operated in time.
出处
《中国康复理论与实践》
CSCD
2005年第8期669-670,共2页
Chinese Journal of Rehabilitation Theory and Practice
关键词
医源性损伤
胆管
预防
治疗
iatrogenic injury
biliary-trac
prevention
treatment
