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目的探讨和总结胆道探查术后对T管引流的临床观察和护理经验。方法回顾性分析我院2015年1月至2017年1月共78例胆道探查+T管引流术的临床资料,对患者进行常规护理和T管特殊护理,观察T管引流情况,探讨临床观察和护理对治疗效果的影响,并总结对T管引流的护理经验。结果 78例患者胆道探查+T管引流术后未发生T管脱落。术后第三天复查血液生化检查,血常规白细胞及中性粒细胞百分比均降至正常,肝功能谷丙、谷草转氨酶及胆管酶谱显著下降,出院前降至正常,全部患者均顺利带T管出院,无明显并发症发生。结论做好患者胆道探查+T管引流术后T管引流的临床观察和护理,对T管引流术后患者顺利康复十分重要。
Objective To investigate and summarize the clinical observation and nursing experience of T tube drainage after biliary exploration. Methods A retrospective analysis of our hospital from January 2015 to January 2017 a total of 78 cases of biliary exploration + T-tube drainage of clinical data, the patients underwent routine care and T-tube special care to observe the drainage of T-tube to explore the clinical observation and Nursing on the effect of treatment, and summed up the T-tube drainage experience in nursing. Results 78 patients with bile duct exploration + T tube drainage did not occur after T tube shedding. Blood biochemical tests were performed on the third postoperative day, and the percentage of white blood cells and neutrophils in the blood routine were all reduced to normal. The hepatic function of cereal cortices, aspartate aminotransferase and bile duct enzymes were significantly decreased, and they were all reduced to normal before discharge. Tubal discharge, no significant complications occurred. Conclusion The clinical observation and nursing of T-tube drainage after biliary exploration + T-tube drainage is very important for successful recovery of patients after T-tube drainage.