双腔T管窦道造影预防拔管后胆漏的分析及护理体会  

Analysis of the prevention of biliary fistula with double-lumen T-tube placement and choledochography and nursing

作　　者：魏桂菊 曾妙娣 

机构地区：[1]广东省深圳市观澜人民医院普外科,广东深圳518110

出　　处：《中国医药导报》2009年第16期37-38,共2页China Medical Herald

摘　　要：目的:探讨双腔T管窦道造影和合适的护理措施预防拔管后胆漏的临床疗效。方法:63例胆道T管引流患者拔除T管前以经T管窦道-胆道造影术代替经T管胆道造影术进行窦道-胆道造影,根据窦道形成情况决定拔管时间(治疗组);同时选取62例没有进行窦道-胆道造影的患者作为对照(对照组)。两组患者都给予包括心理护理在内的多种护理措施。结果:对照组患者平均拔管时间为(36.2±1.5)d,拔T管致胆漏6例,占9.68%;治疗组患者平均拔管时间为(16.2±2.1)d,拔管后有2例因故发生胆漏,占3.17%;治疗组的拔管时间与胆漏发生率均明显低于对照组,两者比较,具有显著性差异(P<0.05)。结论:拔T管前经双腔T管窦道-胆道造影可客观地反映窦道形成情况,同时合理的护理可有效防止拔管后胆漏的发生,值得临床推广。Objective： To discuss the clinical curative effect of double-lumen T-tube placement and choledochography and the appropriate nursing measures for the prevention of biliary fistula. Methods： 63 cases underwent choledoehostomy with double-lumen T-tube drainage before T-tube removal （treatment group）; and then 62 cases did not carry on double- lumen T-tube drainage were selected as control （control group）, and the two group adopted many kinds of nursing measures including mental nursing. Results： The average T-tube removal time of control group was （36.2±1.5） d, and biliary fistula occurred in 6 cases （9.68%）; the average T-tube removal time in treatment group was （16.2±2.1） d, and biliary fistula occurred in 2 cases （3.17%）, both of them had significance differences. Conclusion： Double-lumen T-tube placement and choledochography and the appropriate nursing measure can effectively and safely prevent the biliary fistula occurrence, so it is worth generalizing in clinic.

关 键 词：双腔T管 胆漏 胆道造影 护理 

分 类 号：R473.6[医药卫生—护理学]