胆道探查术后T管早期低压灌洗与夹管的临床观察

A CLINICAL STUDY OF EATLY TOW PRESURE LAVATION AND CLOSING T-TUBE AFTER EXPLORATION ON BILIARY TRACT

目的：为探讨减少胆道探查术后Ｔ管引流胆汁丢失的有效方法；方法：我们对２２例胆道良性疾病Ｔ管引流术后的病人采用早期低压灌洗与夹管处理。即从术后ｄ３起用生理盐水抗生素溶液进行灌洗，压力为２．３５～２．６０ｋＰａ，连续ｄ３，每次２００ｍｌ，能顺利滴入者给于夹闭Ｔ型管；结果：２１例病人实现早期夹管，胆汁丢失量比对照组减少一倍以上。观察表明，早期低压灌洗可以减少术后胆汁丢失，维护术后水电解质平衡。

Objective: ST5,5BZToexplorethemethodofreducingthebilelossaftersurgery.ZMethod: 22patientswithbenigndiseasereceivedbiliaryexplorationhadbeevearlylowpresurelavationandclosingTtubefromthepostoperativeday3to6,Thelavationsolartionconsisitedof0.9%natrirmchlorideandantibiotic,Thelavingpressurewas2.35kPa2.6kPa,If200mlsolutionwaslavedintothebiletractwithoutanydiscomforttheTtubewasclosed.,5HZResult: EarlyClosingTtubewasperformedsuccessfullyin21patients,Thepostoperativerecoveryproceduresoftheexperimentalpatientswasbetterthanthoseofthecontrastivepatients. Conclusion: EarlylowpressurelavationandclosingTtubecanreducethebileloss,maintainthepostoperativebalanceofthewaterandelectrolytemetabolism,promotethepatientsrecoveryaftersurgery.