| 胆道探查术中胆总管下端穿通伤15例诊治分析 |
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| 引用本文： | 杜立学,张煜,吴武军,耿西林,李晖,刘青光.胆道探查术中胆总管下端穿通伤15例诊治分析[J].中华全科医师杂志,2007,8(1):488-489. |
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| 作者姓名： | 杜立学 张煜 吴武军 耿西林 李晖 刘青光 |
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| 作者单位： | 710068,西安交通大学医学院第三附属医院,陕西省人民医院肝胆外科;西安交通大学医学院第一附属医院肝胆外科;陕西省人民医院肝胆外科,西安交通大学医学院第三附属医院,710068;西安交通大学医学院第一附属医院肝胆外科; |
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| 摘 要： | 回顾性分析15例在胆道探查术中发牛胆道下端穿通伤患者的临床资料.9例为术中发现,行胆总管T形管引流并十二指肠侧后腹膜间隙引流,平均住院16 d,均痊愈;6例为术后发现,4例再次手术引流,住院8～12周痊愈,2例因感染性休克多脏器功能衰竭死亡.胆道穿通伤于术中及时发现、正确处理、充分引流,可获痊愈;术后早期发现,施以有效引流也可避免严重的并发症发生.
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| 关 键 词： | 胆总管疾病 胆道外科手术 |
Diagnosis and treatment of penetrating injury in distal segment of common bile duct during biliary tract exploration |
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| DU Li-xue,ZHANG Yu,Wu Wu-jun,GENG Xi-lin,LI Hui,LIU Qing-guang.Diagnosis and treatment of penetrating injury in distal segment of common bile duct during biliary tract exploration[J].Chinese JOurnal of General Practitioners,2007,8(1):488-489. |
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| Authors: | DU Li-xue ZHANG Yu Wu Wu-jun GENG Xi-lin LI Hui LIU Qing-guang |
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| Abstract: | Clinical data of 15 patients with penetrating injury in the distal segment of the common bile duct during biliary tract exploration were retrospectively analyzed.Nine injuries were found during the surgical procedures and successfully treated with common bile duct T tube and peritoneal drainage before discharged from the hospital (mean hospitalization time 16 days).Six penetrating wounds were found post-operatively, and underwent another operation.Four patients were fully recovered at 8 to 12 weeks, and 2 died from multiple organ failure caused by infectious shock.Our investigation suggests that for the penetrating injury in the distal part of the common bile duct, early diagnosis, proper management and effective draining may improve the survival of the patients and avoid serious complications. |
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| Keywords: | Common bile duct diseasesBiliary tract surgical procedures |
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