CAJ | 학술논문

目的：深入分析肝胆外科手术后患者出现胆漏的原因及临床处理方法，控制并降低术后胆漏的发生。方法以2012年1月至2013年1月接受肝胆手术者确诊48例出现胆漏患者为研究对象，深入分析患者个案资料，总结胆漏发生的原因，提出临床预防对策，针对性再次治疗。结果48例肝胆手术出现胆漏者就其病情发展状况采取对应性措施，如非手术或手术性再次治疗后，治愈患者46例，1例术后出院失访，1例死亡，总体治愈率95.83%，术后无并发症。结论肝胆外科手术后出现胆漏的情况是可以预防并控制的，须要求手术医师及医护人员具备坚实的基础理论及过硬的手术和医护技能，才是确保防术后胆漏的关键。
목적：심입분석간담외과수술후환자출현담루적원인급림상처리방법，공제병강저술후담루적발생。방법이2012년1월지2013년1월접수간담수술자학진48례출현담루환자위연구대상，심입분석환자개안자료，총결담루발생적원인，제출림상예방대책，침대성재차치료。결과48례간담수술출현담루자취기병정발전상황채취대응성조시，여비수술혹수술성재차치료후，치유환자46례，1례술후출원실방，1례사망，총체치유솔95.83%，술후무병발증。결론간담외과수술후출현담루적정황시가이예방병공제적，수요구수술의사급의호인원구비견실적기출이론급과경적수술화의호기능，재시학보방술후담루적관건。
Objective To analyze the Department of hepatobiliary surgery after operation in patients with bile leakage and clinical treatment, control and reduce the incidence of postoperative bile leakage. Method In January, 2013 to January 2012 liver and gallbladder surgery, patients with diagnosis of 48 cases with bile leakage as the research object, in-depth analysis of case data, summarizes the cause of bile leakage occurs, clinical preventive countermeasures are put forward, and targeted treatment again. Results 48 cases of hepatobiliary operation there bile leakage to take corresponding measures on the development of the disease, such as non operation or operation again after treatment, the cure in 46 cases, 1 cases lost follow-up after discharge, 1 cases died, the cure rate was 95.83%, and no postoperative complications. Conclusion Courage of bile leakage after surgery can be prevented and controlled, should be required surgery doctors and medical staff have solid foundation theory and excellent surgical and medical skills, is to ensure that the key to prevent postoperative bile leakage.