肝切除术后胆漏研究进展  

Research progress on the bile leakage after hepatectomy

作　　者：郭兵[1] 许晓磊 韩军伟 陈小彬 王海久[1] GUO Bing;XU Xiaolei;HAN Junwei(Department of Hepatobiliary Surgery,Affiliated Hospital of Qinghai University, Qinghai,Xi’ning 810000,China)

机构地区：[1]青海大学附属医院肝胆胰外科青海省包虫病重点实验室,西宁市810000

出　　处：《河北医药》2020年第23期3639-3644,共6页Hebei Medical Journal

基　　金：青海省包虫病临床医学研究中心项目(编号:2017-SF-L2)。

摘　　要：胆漏作为肝切除术后的主要并发症,易导致腹腔感染,严重情况下可出现脓毒血症、肝衰竭和死亡。临床表现主要为腹痛、发热、黄疸、腹膜炎、麻痹性肠梗阻、经皮引流出胆汁等。长期带管、住院时间延长、额外诊疗、反复胆道感染给患者带来了严重的心理及经济负担。目前国内外对肝脏切除术后胆漏的诊疗及预防尚不成熟,本文意在综述相关文献,对肝切除术后胆漏的诊疗及预防进一步认识,从而为临床决策提供相关依据。As the main complication after hepatectomy,bile leakage is easy to lead to abdominal infection.In severe cases,sepsis,liver failure and death may occur.The main clinical manifestations are abdominal pain,fever,jaundice,peritonitis,paralytic ileus,percutaneous drainage of bile,etc.The long term management,prolonged hospitalization,additional diagnosis and treatment,and repeated biliary tract infection have brought severe psychological and economic burden to patients.At present,the diagnosis,treatment and prevention of bile leakage after hepatectomy are not mature at home and abroad.This article aims to review the relevant literatures,and further understand the diagnosis,treatment and prevention of bile leakage after hepatectomy,so as to provide relevant basis for clinical decision making.

关 键 词：肝切除 胆漏 诊断 治疗 预防 

分 类 号：R657.4[医药卫生—外科学]