胆管探查术后T管早期低压灌洗与夹管的临床观察  

Clinical observation of early low pressure lavation and closing T-tube after exploration of biliary duct

作　　者：林延钊 

机构地区：[1]丰顺县人民医院外一科,广东丰顺514300

出　　处：《现代医药卫生》2005年第12期1477-1478,共2页Journal of Modern Medicine & Health

摘　　要：目的:为减少胆管探查术后T管引流胆汁丢失的有效方法。方法:对22例胆管良性疾病T管引流术后的病人采用早期低压灌洗与夹管处理。即从术后3天起用生理盐水抗生素溶液进行灌洗,压力为2.35～2.60kPa,连续3天,每次200ml,能顺利滴入者给于夹闭T型管。结果:21例病人实现早期夹管,胆汁丢失量比对照组减少一倍以上。结论:早期低压灌洗可以减少术后胆汁丢失,维护术后水电解质平衡,加快病人的康复。Objective:To investigate the effective method of reducing bile loss after exploration of biliary duct.Methods:22patients with benign diseases after exploration of biliary duct were performed with early low pressure lavation and closing T-tube on days3～6after operaˉtion.The lavation solution was consisted of0.9%natrium chloride and antibiotic,the laving pressure was2.35kPa～2.6kPa,the T-tube was closed as solution200ml was laved into the bile duct without any discomfort.Results:Early closing T-tube was performed successfully in21patients.The loss volume of bile in the experimental group was decreased by one time or more than that in the control group.Conclusion:Early low pressure lavation and closing T-tube can reduce the bile loss,maintain the postoperative balance of water-electrolyte metabolismand promote the patient recovery after operation.

关 键 词：低压灌洗 探查术后 临床观察 胆汁丢失 胆管良性疾病 水电解质平衡 抗生素溶液 有效方法 T管引流 引流术后 生理盐水 早期夹管 病人 T型管 对照组 

分 类 号：R699.8[医药卫生—泌尿科学] R657.42[医药卫生—外科学]