摘要
目的探讨T管拔除后胆漏致胆汁性腹膜炎的原因分析及处理措施。方法回顾性分析1992年12月～2012年11月胆总管手术术后拔T管发生胆漏13例的临床资料。结果全部患者经开腹和腹腔镜手术再引流,4～6周后逐日退管至拔管后痊愈。结论 T管拔除后胆漏的原因与多种因素有关,如营养不良、创面粘连不佳、窦道未形成等。拔管后严密观察,如有腹痛症状首先考虑胆漏可能,经开腹或腹腔镜探查再引流延迟拔管方可治愈。
Objective To discuss the reason and preventive measures of bile leakage and peritonitis after removal of T-tube. Methods The clinical data of 13 cases with bile leakage and bile peritonitis after removal ofT-tube after common bile duct operation in our hospital from December 1992 to November 2012 were retrospectively analyzed. Results All cases were open operation and laparoscopic operation, gradually pulled tube to extu^oation after drainage 4-6 weeks, they were all cured. Conclusion Bile leakage after removal of T-tube are related to many factors, such as malnutrition, poor wound adhesion, without formation of sinus tract. Extubation after close observation, such as abdominal pain first consider the bile leaks, by laparotomy or laparoscopy and drainage for delayed extubation can be cured.
出处
《当代医学》
2013年第3期107-108,共2页
Contemporary Medicine
关键词
拔T管
胆漏
腹膜炎
再手术g
J流
Removal ofT-tube
Bile leakage
Peritonitis
Operation and drainage
