中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2014年
6期
3452-3453
,共2页
肝胆外科%胆漏%防治措施
肝膽外科%膽漏%防治措施
간담외과%담루%방치조시
Hepatobiliary Surgery%bile leakage%prevention measures
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。
目的：探討肝膽外科手術膽漏原因，提齣針對性的防治措施。方法：迴顧性分析某院肝膽外科手術後併髮膽漏30例，總結治療方法與結跼。結果：保守治療20例，T管脫落者4例，瘺口重置T管，T管引流不暢者12例，反複遲洗，積存膽汁過多者，B超聲介導下腹部穿刺引流，治愈率達到100.00%；手術治療10例，6例保守治療引流不暢轉手術，4例癥狀較重，行急診手術，住院期間治愈率達到100.00%；2例患者齣院後膽漏複髮，再次遲洗後恢複正常。結論：對癥治療、遲管、瘺口置管、手術是治療膽漏的主要方法，醫院應據患者病情酌情施用。
목적：탐토간담외과수술담루원인，제출침대성적방치조시。방법：회고성분석모원간담외과수술후병발담루30례，총결치료방법여결국。결과：보수치료20례，T관탈락자4례，루구중치T관，T관인류불창자12례，반복충세，적존담즙과다자，B초성개도하복부천자인류，치유솔체도100.00%；수술치료10례，6례보수치료인류불창전수술，4례증상교중，행급진수술，주원기간치유솔체도100.00%；2례환자출원후담루복발，재차충세후회복정상。결론：대증치료、충관、루구치관、수술시치료담루적주요방법，의원응거환자병정작정시용。
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.
