胆总管切开探查T管引流术后并发胆漏10例预防及护理

Prevention of complicating bile leakage after drainage with T tube in choledochotomy with exploration and nursing care in 10 patients

目的：探讨胆总管切开探查T管引流术后并发胆漏的预防与护理方法。方法：对10例行胆总管切开探查T管引流术后发生胆漏患者的临床资料进行回顾性分析，并对实施的护理措施进行总结。结果：本组10例术后并发胆漏，6例采用非手术方法治疗，4例采用再手术治疗。所有患者均治愈出院。住院时间为10～26d，平均14.5d。结论：掌握好手术指征，了解术中胆道的变异，给予细致的手术操作和改善患者的全身情况，加强T形引流管的观察与护理，可有效预防及早期发现胆漏的发生。

Objective： To explore prevention and nursing methods for complicating bile leakage after drainage with T tube in cholodochotomy with exploration. Methods： Retrospective analysis of the data collected from 10 patients who had complicating bile leakage after drainage with T tube in choledochotomy with exploration was carried out to summarize the nursing measures. Results： Among 10 patients, six patients were treated with non-operative therapy; four patients were treated with operation again and all the patients were cured. The duration of hospitalization was from 10 to 26 days, average at 14.5 days. Conclusion： Commanding indication of operation and variation of bile duct in operation, doing operation carefully and emphasizing management of T tube can early find and prevent from bile leakage.