胆道术后T管拔除后胆漏20例临床分析  

Clinical analysis on bile fistula after removal of T-tubes from the biliary tract surgery-20 cases report

作　　者：李江利[1] 魏友松[1] 戴洪山[1] 

机构地区：[1]江苏省中医院普通外科,南京210029

出　　处：《齐齐哈尔医学院学报》2015年第27期4070-4071,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨胆道术后T管拔除后发生胆漏的原因及治疗方法。方法回顾性分析我科行胆道术后T管拔除后发生胆漏20例患者的临床资料,分析其原因和治疗方法。结果 20例患者发生胆漏的时间是在拔除T管后10 min至3 h。其中16例患者行非手术治疗;4例患者因发生严重腹膜炎,行剖腹手术,所有患者经过治疗后均治愈出院。结论胆道术后T管拔除后发生胆漏的原因较多,但是处理方式多以腹腔引流等保守治疗为主,危重患者予再次手术治疗。Objective To investigate the cause , prevention and treatment of bile fistula after removal of T-tubes from the biliary tract surgery .Methods Datas of 20 patients with bile fistula after removal of T -tubes from the biliary tract surgery were analyzed retrospectively .The analysis was used to identify the risk cause , prevention and treatment of bile fistula after removal of T -tubes from the biliary tract surgery .Results All patients were diagnosed as post -bile fistula from 10 min to 3 h after removal of T-tubes from the biliary tract surgery .16 patients were given non -surgical treatment , 4 patients were given laparotomy tray .All patients were cured.Conclusions The reasons of bile fistula after removal of T -tubes from the biliary tract surgery are complex.The main method for solving the bile fistula after removal of T -tubes from the biliary tract surgery is expectant treatment , and the critical patients need the treatment of surgery .

关 键 词：胆道术后 T管 胆漏 

分 类 号：R619.9[医药卫生—外科学]