Analysis of the prevention of biliary fistula with double-lumen T-tube placement and choledochography and nursing 双腔T管窦道造影预防拔管后胆漏的分析及护理体会
The perioperative complications occurred in 8 cases, the complication rate was 29.6%, among them 4 cases were pancreatic fistula, 1 case was islets of langerhans deficiency, 1 case was pancreatic cyst, 1 case was biliary fistula, 1 case was abdominal infection. 围术期发生并发症8例,并发症发生率29.6%,其中胰瘘4例,胰岛功能不足1例,胰腺囊肿1例,胆汁瘘及腹腔感染各1例,均经处理后治愈。
Complications included pain of liver region, low fever, 7 right hydrothorax, 1 biliary fistula, 1 upper GI bleeding. 并发症主要为肝区疼痛和低热,7例右例胸腔积液,1例胆瘘,1例上消化道出血。
Complications were found in 23 cases, biliary fistula in 2 cases, subphrenic infection in 4, incisional wound infection in 9, transaminase lifting in 6 and digestive tract bleeding in 2, but they were all cured by non-operative treatment. 并发症23例,胆漏2例,膈下感染4例,切口感染9例,术后转氨酶升高6例,消化道出血2例,全部并发症经非手术治疗全愈。
Biliary fistula and pancreatic fistula occurred in one case. Pneumonia occurred in 3 cases. Wound liquefaction occurred in 3 cases. 结果多数患者顺利度过围手术期,1例术后死亡,1例出现胆瘘、胰瘘,3例出现肺炎,3例伤口液化。
Objective To compare the different operative methods for cystic hepatic echinococcosis with biliary fistula. 目的探讨治疗囊性肝包虫病合并胆瘘的不同手术方式及疗效。
Results 78 recovered without any pancreatic and biliary fistula. 3 patients died. 结果治愈78例,死亡3例,术后无一例胰胆瘘发生。
Discuss on diagnosis and treatment of internal biliary fistula 腹腔镜下胆肠内瘘的诊治探讨
Analysis on the Anatomic Features of 47 Cases of Hepatic Hydatidosis Complicated with Biliary Fistula 47例囊性肝棘球蚴病合并胆管瘘病解剖特征的临床资料分析
ConclusionDouble lumen T tube enabling sinus visualization by choledochography effectively prevents biliary fistula after T tube removal. 结论双腔T管窦道造影能显示窦道形成情况,以此为依据拔除T管,是预防拔管后胆漏的可靠方法。
Patients with biliary fistula, 2 cases were cured by drainage, 1 case was cured by ERCP. 胆瘘3例,2例行腹腔引流治愈,1例行ERCP置管引流治愈;
Surgical treatment in 203 patients of hepatic hydatidosis with biliary fistula 肝细粒棘球蚴病合并胆瘘的手术治疗&附203例分析
Postoperative complications included biliary fistula, inner cyst infection and insufficient closing of the remaining cavity. 术后并发症为胆汁瘘、囊内感染、外囊残腔闭合不全等。
Surgical treatment of biliary fistula after hepatobiliary operation 肝胆术后胆瘘的外科治疗
Conclusion The basic principle of severe liver traumatic rupture operation is to prevent bleeding effectively. That clearing devitalized tissue, processing associated injury, preventing from the biliary fistula and drainage well can raise the sufferer's clinical curative effect. 结论严重外伤性肝破裂手术处理的基本原则是有效防止出血,清除一切失活组织,处理合并伤,防止胆瘘和充分引流,可提高肝外伤患者的临床疗效。
Postoperatively, there were 4 cases of recurrence, 8 cases of biliary fistula, 8 cases of residual cavity hydrops, and 1 case of postoperative bleeding. All of the cases were cured. 无手术死亡。4例术后复发(非原发部位),8例术后胆漏,8例残腔积液,1例术后出血,均获治愈。
Postoperative complications included biliary fistula ( 1 donor) and wound fat liquefaction ( 1 donor). 术后胆漏1例,切口脂肪液化1例;
Analysis of 26 Cases of Internal Biliary Fistula 胆内瘘26例分析
The main operative complications of this study are pancreatic fistula, biliary fistula, bleeding, abdominal fluid collection, infection and anastomotic obstruction. 根治性手术并发症主要是:胰瘘、胆瘘、出血、腹腔积液、感染、吻合口梗阻等。
To discuss the criteria and significance of clinical type on hepatic hydatidosis with biliary fistula. 目的初步探讨囊性肝包虫病合并胆瘘的临床分型标准及意义。
Two cases were complicated with biliary fistula. 并发症:胆瘘2例。
The main causes of failure were biliary fistula and removing the biliary stents too early. 而胆疹、吻合口狭窄和胆管内支撑管拔除过早是本研究中胆管损伤的早期处理失败的主要原因。
Treatment of common bile duct stones in the past the main approach to the surgical surgery, but these patients prone to bleeding after surgery, biliary fistula, abdominal infection, biliary strictures and other complications, efficacy not good enough. 过去治疗胆总管结石病的主要方式以外科手术为主,但此类病人在手术后易发生出血、胆瘘、腹腔感染、胆管狭窄等并发症,疗效不甚理想。