Clinical analysis of bile peritonitis after delayed removal of "T" tube 延迟拔T管后致胆汁性腹膜炎的临床分析
Objective To reappraise the surgical treatment of bile peritonitis after removal of T-tube from the common bile duct. 目的重新认识T管拔除后胆漏的外科治疗方案。
Cases occurred bile peritonitis postoperatively, only one needed to be explored and treated with suture ligature, another two cases were treated with multiple hole catheters to drainage of the abdominal cavities through stab wounds. 3例术后出现胆汁性腹膜炎,其中1例剖腹探查并缝扎漏胆汁处,另2例经腹壁戳孔放多孔尿管引流。
CONCLUSIONS Bile peritonitis after removal of T tubes is relative to the material of T tubes, Most patients can be cured after conservative treatment. 结论T管拔除后胆汁性腹膜炎与T管材料有关,多数患者经积极的非手术治疗能获痊愈。
Conclusion The bile peritonitis might be treated with conservatively with negative suction after pulling T tube. 结论拔T管后胆汁性腹膜炎以非手术治疗为主,可采用低负压吸引。
Conclusion On the rule of three step surgical treatment ( to drain from fistula with urethral catheter, then to puncture or put catheter to drain, and then to operate), most cases of bile peritonitis after removal of T-tubes can be cured by the non-operation method. 结论根据置尿管瘘道内引流、穿刺或置管引流、手术治疗三步处理方案,绝大部分拔T管后胆漏患者可行保守治疗治愈。
Nursing Care for Bile Peritonitis After Removal of T-tube in Elderly Patients 老年患者T管拔除致胆汁性腹膜炎的护理
If the biliary injury is not recognized by the operator at the time of the initial operation, the delayed repair of bile duct may be carried out unless the biliary peritonitis or biliary fistula is present. 除非有胆汁型腹膜炎或胆瘘存在,胆管损伤术中未能及时发现者,可以行延迟性手术。
In PTCD group, there were 7 cases of acute biliary complication, 4 cases of acute cholangitis, 2 cases of bile duct hemorrhage, and 1 case of bile leakage resulting in biliary peritonitis and 1 death. 总急性胆道并发症10例(909%),PTCD组急性胆道并发症7例(1373%),急性胆管炎4例,胆道出血2例,胆汁性腹膜炎1例,死亡1例。
Bile peritonitis following T-tube olisthy or removal T管滑脱或拔除致胆汁性腹膜炎
METHODS The clinical data about 22 cases of bile peritonitis after removal of T tubes were analysed. 方法对22例T管拔除后胆汁性腹膜炎患者临床资料进行回顾性分析。
Discussion on Etiology and Treatment of Bile Peritonitis after Pulling T Tube T型管拔出后胆汁性腹膜炎的病因及治疗