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《膽漏的診斷標(biāo)準(zhǔn)（Diagnosticcriteriaofbileleakage）》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、膽漏的診斷標(biāo)準(zhǔn)(Diagnosticcriteriaofbileleakage)Bileleakageisacommoncomplicationofcholecystectomy,whichmayoccurbothinlaparotomyandlaparoscopicsurgery.1、thediagnosticcriteriaofbileleakage:(1)postoperativeabdominaldrainagefor3Dbileoutorsinglebiliarydrainageamountwasgreaterthan100ml/D(2)withou
2、tperitonealdrainage,postoperativeperitonealirritationsign,abdominalextractionbileorreoperationfoundbileaccumulationintheabdominalcavity?2,accordingtothesituationofleakageandthecauseofbileleakageaftercanbedividedintothefollowing7categories(1)bileleakageinhepaticwound:(2)residualfistu
3、laofcysticduct;(3)bileleakageingallbladderbed;(4)leakageofTtubeaftercommonbileduct;(5)bileleakageafterTtubeextraction;(6)leakageofbilestomaanastomosis;(7)leakageofbileductafterinjury.Obviously,theinterventionaltreatmentorreoperationcannotbegeneralized,andthecause,locationandcombinat
4、ionofbileleakageshouldbeconsidered?3.Treatment:thereare2traditionalmethodsoftreatment:(1)conservativetreatmentincludedmaintainingperitonealdrainage,controllinginfection,nutritionalsupportandgrowth(2)reoperation.Useofhormonesand/orsomatostatin.Theendoscopicsphincterotomy,endoscopicbi
5、liarydrainageandstentdrainagearethenewtreatmentmethods.4,ourtreatmentandtreatmentexperience(1)whethersurgicaltreatmentisbasedondiffusebiliaryperitonitisBileleakagenotcomplicatedwithdiffusebiliaryperitonitispatientscanchooseconservativetreatment,thetreatmentprincipleistomaintainsmoot
6、hdrainageandinfectioncontrol,aslongasnodistalbileductobstruction,nobileductinjuryisserious,suchasbileducttransection,bileductwalllargedefect,conservativetreatmentcanbecured?(2)accordingtothecauseofbileleakage,choosethetreatmentplanForbileductinjuryisserious,suchascommonbileducttrans
7、ection,bileductwa11largedefect,usuallyrequirestheuseofsurgicaltreatmentofcommonbileducttransectioninjuryshouldbebasedonfaultydecisioncholedochocholedochostomyorcommonbileductjejunumRoux2Yanastomosis,andplacementofTtubedrainageforabouthalfayear?Forbileductinjuryisrelativelyminor,such
8、asbileductwallperfo
