摘要
目的探讨医源性胆管损伤的预防和处理。方法回顾分析24例医源性胆管损伤的原因及处理方法。结果行胆管空肠Roux-en-y吻合11例、胆管对端吻合4例、胆管修补3例、胆管引流或单纯腹腔引流6例;1例LC致胆总管损伤胆漏、中毒性休克死亡,1例CC术后腹腔引流、多脏器功能衰竭死亡,其余均治愈。结论医源性胆管损伤的原因多,应尽早发现,及时处理。
Objective To explore the methods of Prevention and treatment of the iatrogenie biliard - tract injury. Methods 24cases with the iatrogenic biliary - tract injury were analyzed retrospectively. Results Modified Roux - en - Y choledochojejunostomy was performed in 11 case, end - to - end anastomosis of bile duct in 4 cases, repair of bile duct in 3 cases, a drainage of the inter bile duct and the abdominal cavity in 6 cases. Only 1 ease of common bile duct injury after laparoseopic cholecysteetoy was death from the toxic shock, another case of bile duct injury after conventional cholecysteeoty with the drainage of abdominal cavity was death from multiple system organ failure, all of the other patients were cured. Conclusion The iatrogenic biliary - tract injury may be causes variously, and should be discovered as soon as possible and be operated in time.
出处
《延安大学学报（医学科学版）》
2008年第4期48-49,共2页
Journal of Yan'an University:Medical Science Edition
关键词
医源性损伤
胆管
预防
治疗
iatrogenicinjury
biliary - trac
prevention
treatment
