中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
18期
72-72,74
,共2页
胆囊结石%胆囊切除术%并发症%预防
膽囊結石%膽囊切除術%併髮癥%預防
담낭결석%담낭절제술%병발증%예방
Gallbladder stones%Cholecystectomy%Complication%Prevention
目的:胆囊结石伴急性胆囊炎是基层医院门急诊工作中经常遇到的急腹症,患者就诊时往往疼痛难忍,一旦确诊,根据患者全身情况,胆囊切除术是急诊首选的治疗方法。绝大多数患者效果很好,但也有少数患者出现各种并发症。因此,术中容易造成胆总管结石漏诊残留、因解剖变异改变手术方式、胆管误损伤等并发症,给患者造成一定的痛苦。为了避免以上问题的发生,要严格掌握胆囊切除的适应证。
目的:膽囊結石伴急性膽囊炎是基層醫院門急診工作中經常遇到的急腹癥,患者就診時往往疼痛難忍,一旦確診,根據患者全身情況,膽囊切除術是急診首選的治療方法。絕大多數患者效果很好,但也有少數患者齣現各種併髮癥。因此,術中容易造成膽總管結石漏診殘留、因解剖變異改變手術方式、膽管誤損傷等併髮癥,給患者造成一定的痛苦。為瞭避免以上問題的髮生,要嚴格掌握膽囊切除的適應證。
목적:담낭결석반급성담낭염시기층의원문급진공작중경상우도적급복증,환자취진시왕왕동통난인,일단학진,근거환자전신정황,담낭절제술시급진수선적치료방법。절대다수환자효과흔호,단야유소수환자출현각충병발증。인차,술중용역조성담총관결석루진잔류、인해부변이개변수술방식、담관오손상등병발증,급환자조성일정적통고。위료피면이상문제적발생,요엄격장악담낭절제적괄응증。
Gallbladder stone with acute cholecystitis is often encountered as acute abdomen in emergency work of primary hospitals.In clinic,patients often have great pain.Once diagnosed,according to the general condition of patients,cholecystectomy is the first choice of treatment in the emergency department.The effect of majority of patients is very good,but a few people appear some complications,therefore,it is easy to cause common bile duct stones missed residue,change of the operation mode because of anatomical variation,the accident injury of bile duct and other complications.These complications cause some pain to the patient. In order to avoid the occurrence of the above problems,we should strictly grasp the indications of laparoscopic cholecystectomy.