摘要
目的 :探讨拔T管致胆漏的原因及防治策略。方法 :对 1990年 1月至 1999年 12月收治的 19例拔T管致胆漏的病人作回顾性分析。结果 :19例首选非手术治疗 ,3例中转手术治疗非手术治愈率为 84 % (16 / 19) ,3例手术病人亦治愈 ,全组无死亡病例。结论 :拔T管致胆漏与病人的全身情况及术中、术后细小环节的技术操作是否严格要求及是否规范有关。胆漏发生后应视胆漏大小、病情轻重选择非手术与手术治疗。预防应从手术前、中。
Objective: To investigate the cause,prevention and treatment of bile leakage after removal of a T tube. Method: The clinical date of 19 cases with bile leakage after removal of a T tube treated from Jan 1990 to Dec.1999 were reviewed retrospectively.Results: Of the 19 cases treated with non-operative therapy, 3 patients were transferred to be operated later ,the cure rate of non-operation was 84% (16/19). 3 cases who were transferred to be operated later were finally cured. No patient died in all cases. Conclusion: Bile leadage after removal of a T tube is mainly related to atiebt's body condition and manipulation in operative manage or postoperative treatment. Different treatments are optional according to prevent it. surgeons should pay more attention to the 3 links of primary procedure, including preoperative preparation operative managemtment and postoperative treatment.
出处
《河北医学》
CAS
2002年第12期1073-1075,共3页
Hebei Medicine
关键词
拔T管
胆漏
治疗
Removal of a T tube
Bile leakage
