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目的:总结肝胆手术术后胆漏护理经验。方法:回顾性分析28例肝胆手术后胆漏患者的护理过程。结果:27例胆漏患者治疗后痊愈,平均住院25~28 d,在治疗中发生并发症11例,其中感染3例,便秘3例,微循环障碍4例,肝肾综合征1例,1例肝脏移植后胆漏患者进行再次手术。其中肿瘤患者1例抢救无效死亡。结论:严密护理观察,做好护理记录,营养护理,冲洗护理和心理辅导对降低胆漏发生具有积极意义。
Objective: To summarize the experiences of hepatobiliary leakage after hepatobiliary surgery. Methods: A retrospective analysis of 28 cases of gallbladder surgery after bile leakage patients. Results: Twenty-seven patients with bile leakage were cured after treatment. The average hospitalization was 25-28 days. There were 11 complications in the treatment, including 3 cases of infection, 3 cases of constipation, 4 cases of microcirculation disturbance, 1 case of hepatorenal syndrome, 1 case of 1 Cases of bile leakage after liver transplantation in patients with reoperation. One case of cancer patients died of an invalid rescue. Conclusion: Careful observation, good nursing records, nutritional nursing, nursing and psychological counseling to reduce the occurrence of bile leakage is of positive significance.