CAJ | 학술논문

目的：探讨胆外科手术后发生胆漏的原因及防治措施。方法选取肝胆术后胆漏患者12例，对所有患者给予维持电解质及酸碱平衡治疗和静脉滴注抗感染等保守治疗，必要时给予胃肠营养补充。结果除确诊为胆管癌2例患者外，其余患者均康复出院，治愈率达到了83.33%，其中＜10 d治愈的有7例，＞10 d治愈的有3例。结论胆汁渗漏关键在预防，因此，需要对胆漏的原因进行全面了解，才能采取有效措施进行预防，从而解决胆汁渗漏问题。
목적：탐토담외과수술후발생담루적원인급방치조시。방법선취간담술후담루환자12례，대소유환자급여유지전해질급산감평형치료화정맥적주항감염등보수치료，필요시급여위장영양보충。결과제학진위담관암2례환자외，기여환자균강복출원，치유솔체도료83.33%，기중＜10 d치유적유7례，＞10 d치유적유3례。결론담즙삼루관건재예방，인차，수요대담루적원인진행전면료해，재능채취유효조시진행예방，종이해결담즙삼루문제。
Objective Causes and prevention measures discussed bile leakage after gall bladder surgery. Methods Patients with liver and gallbladder bile leakage after 12 cases, all patients were given to maintain electrolyte and acid-base balance of intravenous anti-infective therapy and other conservative therapy, parenteral nutritional supplements given if necessary. Results In addition to two cases of cholangiocarcinoma diagnosed patients, the remaining patients were discharged, the cure rate reached 83.33%, which is less than 10 days to cure has seven cases, there are more than 10 days to cure the three cases. Conclusion The key in the prevention of bile leakage, therefore, the need for reasons to conduct a comprehensive understanding of bile leakage, in order to take effective measures to prevent, so as to solve the problem of bile leakage.