【摘要】 目的:确定胆囊切除术中放置引流的重要性。方法:观察278例单纯胆囊切除术后引流液的量、性质及术后并发症。结果:51例24h最大引流量超过300mL,4例为胆汁性,引流量1000～2000mL,1例血性液约为500mL;术后并症5.4％,其中3例切口感染均发生在原切口引流,另戳孔引流无1例切口感染;瘘道形成4例,肺部感染2例。结论:术后放置引流有备无患,另戳孔胶管引流,早期拔管,术后鼓励患者咳嗽排痰可减少术后并发症。更多还原

【Abstract】 Objective: To explore the importance of laying drainage in cholecysectomy. Method:To observe the drainage quantity, quality and postoperative complications of 278 cholecystectomy cases. Result: 51 cases’ drainage quantity was over 300mL during 24 hours,4 cases’drained liquid was biliary,the quantity was from lOOOmL to 2000mL,and 1 case’s was bloody,the liquid quantity was about 500mL, the incidence of postoperative complications was 5.4% , in which 3 cases’ incisional infection occurred in primal incision They underwent an operation to lay drainage again, and no incisional infection occurred. Biliary fistula formed in 4 cases, and lung infection occurred in two cases. Conclusions: Laying drainage after surgery, incising to lay drainage again if necessary, pulling the pipe earlier and couraging the patients to cough and to spit after surgery will decrease the postoperative complications.更多还原