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胆道探查术后T管早期低压灌洗与夹管的临床观察

A CLINICAL STUDY OF EATLY TOW PRESURE LAVATION AND CLOSING T-TUBE AFTER EXPLORATION ON BILIARY TRACT

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【作者】 林延钊吴志光陈臻张教茂

【Author】 LinYanzhao,WuZhiguang,Chen Zhen,etal (514300) The PeoplesHospitalofFengshunCounty,GuangdongProvince

【机构】 广东省丰顺县人民医院

【摘要】 目的:为探讨减少胆道探查术后T管引流胆汁丢失的有效方法;方法:我们对22例胆道良性疾病T管引流术后的病人采用早期低压灌洗与夹管处理。即从术后d3起用生理盐水抗生素溶液进行灌洗,压力为2.35~2.60kPa,连续d3,每次200ml,能顺利滴入者给于夹闭T型管;结果:21例病人实现早期夹管,胆汁丢失量比对照组减少一倍以上。观察表明,早期低压灌洗可以减少术后胆汁丢失,维护术后水电解质平衡,加快病人的康复

【Abstract】 Objective: ST5,5BZToexplorethemethodofreducingthebilelossaftersurgery.ZMethod: 22patientswithbenigndiseasereceivedbiliaryexplorationhadbeevearlylowpresurelavationandclosingTtubefromthepostoperativeday3to6,Thelavationsolartionconsisitedof0.9%natrirmchlorideandantibiotic,Thelavingpressurewas2.35kPa2.6kPa,If200mlsolutionwaslavedintothebiletractwithoutanydiscomforttheTtubewasclosed.,5HZResult: EarlyClosingTtubewasperformedsuccessfullyin21patients,Thepostoperativerecoveryproceduresoftheexperimentalpatientswasbetterthanthoseofthecontrastivepatients. Conclusion: EarlylowpressurelavationandclosingTtubecanreducethebileloss,maintainthepostoperativebalanceofthewaterandelectrolytemetabolism,promotethepatientsrecoveryaftersurgery.

【关键词】 T型管引流术胆道灌洗T管
【Key words】 TtubedrainagcBiliareytractLavamcntTtube
  • 【分类号】R657.4
  • 【被引频次】6
  • 【下载频次】6
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