中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
3期
23-24
,共2页
胆漏%手术%病因%预防
膽漏%手術%病因%預防
담루%수술%병인%예방
Bile leakage%Operation%Etiology%Prevention
目的：研究胆漏的病因，并提出相应的预防措施。方法从我院2010年1月～2014年1月资料库中找出收治的6例胆漏患者资料，2例拔T管后胆漏，B超声波引导下再置管引流临床观察中腹膜炎症状加重，并有黄疸出现，进行手术治疗。2例胆囊切除术后胆瘘，2例严重肝外伤、肝叶不规则切除术后胆瘘。结果死亡率为16.67%，治愈率为83.33%。结论一旦发生胆漏，应及时进行有效处理，根据胆漏相关信息选择是否手术治疗，胆漏重在预防，研究胆漏原因，才能有效防止胆漏发生。
目的：研究膽漏的病因，併提齣相應的預防措施。方法從我院2010年1月～2014年1月資料庫中找齣收治的6例膽漏患者資料，2例拔T管後膽漏，B超聲波引導下再置管引流臨床觀察中腹膜炎癥狀加重，併有黃疸齣現，進行手術治療。2例膽囊切除術後膽瘺，2例嚴重肝外傷、肝葉不規則切除術後膽瘺。結果死亡率為16.67%，治愈率為83.33%。結論一旦髮生膽漏，應及時進行有效處理，根據膽漏相關信息選擇是否手術治療，膽漏重在預防，研究膽漏原因，纔能有效防止膽漏髮生。
목적：연구담루적병인，병제출상응적예방조시。방법종아원2010년1월～2014년1월자료고중조출수치적6례담루환자자료，2례발T관후담루，B초성파인도하재치관인류림상관찰중복막염증상가중，병유황달출현，진행수술치료。2례담낭절제술후담루，2례엄중간외상、간협불규칙절제술후담루。결과사망솔위16.67%，치유솔위83.33%。결론일단발생담루，응급시진행유효처리，근거담루상관신식선택시부수술치료，담루중재예방，연구담루원인，재능유효방지담루발생。
Objective To study the causes of bile leakage, and put forward the corresponding prevention measures.Methods6 cases of bile leakage in my hospital from January 2010~January 2014 were analysed, 2 cases of bile leakage happened after the removal of T tube, through B ultrasound acoustic guided observation, the peritonitis symptom was aggravating, and jaundice appeared, so took operation treatment. 2 cases were cholecystectomy biliary ifstula, 2 cases had severe liver injury, so took hepatic lobeirregular resection.Results The mortality rate was 16.67%, the cure rate was 83.33%.Conclusion Once the bile leakage occurred, the patients should receive timely and effective treatment according to the relevant information, focus on prevention of bile leakage.
