经皮肝穿刺胆道引流术后并发症及处理  

Analysis and management of the complications following percutaneous transhepatic cholangiodrainage

作　　者：郭卫星[1] 程树群[1] 李楠[1] 石洁[1] 薛捷[1] 胡华生[1] 

机构地区：[1]第二军医大学东方肝胆外科医院肿瘤综合科,上海200438

出　　处：《腹部外科》2009年第3期167-168,共2页Journal of Abdominal Surgery

摘　　要：目的探讨经皮肝穿刺胆道引流术(PTCD)后并发症的特点及其处理措施。方法回顾性分析自2004年1月至2007年1月对205例阻塞性黄疸进行PTCD治疗的术后并发症。结果主要并发症为出血、胆道感染、胆漏、导管堵塞等。相应的治疗措施包括止血、抗感染、腹腔引流、支架再置入等。结论PTCD是治疗阻塞性黄疸的主要方法,预防和处理其并发症应值得注意。Objective To investigate the features, prevention and treatment of complications during or after percutaneous transhepatic cholangiodrainage（PTCD）. Methods 205 patients with obstructive jaundice underwent PTCD between Jan. 2004 and Jan. 2007. The complications of those cases were retrospectively analyzed. Results The main complications included hemorrhage, bile duct infec- tion, biliary leak, trachea obstruct. The corresponding treatments included,hemastasis,anti-infection therapy, abdomen drainage, second metal stents drainage, respectively. Conclusion PTCD was a useful therapeutic method for patients with obstructive jaundice, and its complications should be prevented and treated.

关 键 词：黄疸 阻塞性 引流术 手术后并发症 

分 类 号：R473.6[医药卫生—护理学] R575[医药卫生—临床医学]