胆总管T型引流管脱出10例治疗及护理分析  

Treatment and nursing for 10 patients with relapse of choledoch T drainage tube

作　　者：严细婵 

机构地区：[1]贵州省凯里市黔东南州人民医院肝胆外科,贵州凯里556000

出　　处：《中西医结合护理（中英文）》2016年第6期90-92,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨胆总管T型引流管脱出10例治疗方法及护理措施。方法选择10例胆总管T型引流管脱出患者作为研究对象,其中本院手术后出现6例,院外带入4例。患者术后出现无引流液、腹痛、腹胀等情况,B超、CT等复查支持引流管脱出,给予重置管或抑酶等支持治疗和相应护理,观察患者治疗效果。结果治疗后,患者碱性磷酸酶(ALP)、总胆红素(TBILI)、谷氨酰转移酶(r-GT)均较治疗前显著下降(P<0.05)。结论疑似胆总管T型引流管脱出者,应积极行B超、CT等复查,及时确诊脱出情况。Objective To explore the treatment of nursing for 10 patients with relapse of choledoch T drainage tube. Methods Ten patients with relapse of choledoch T drainage tube were selected, including 6 cases after the operation in our hospital and 4 cases from other hospitals. Patients had no drainage fluid, abdominal pain, and abdominal distension after operation, and B ultrasound and CT review showed relapse of drainage tube. The patients were given support treatment and corresponding nursing, and the effect was observed. Results After treatment, the levels of alkaline phosphatase （ALP）, total bilirubin （TBILI）, and alanine aminotransferase （r-GT） significantly decreased when compared with those before treatment （P〈0.05）. Conclusion Patients with suspected relapse of choledoch T drainage tube should be detected by B ultrasound and CT examination in order to make a timely diagnosis of relapse.

关 键 词：胆总管 T型引流管 引流管脱出 治疗 护理 

分 类 号：R473.6[医药卫生—护理学]