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总结胆道T管引流术后并发急性肾衰13例的诊治经验,分析发生的原因。13例均得到及时诊断和早期治疗,无1例死亡。胆道T管引流术后并发急性肾衰常发生在出院后1～2周内,术后持续T管引流胆汁及消化道功能障碍导致血容量不足是并发急性肾衰的主要原因;及时诊断,充分补充血容量是治疗该病的关键;适时夹闭T管及避免胆汁持续丢失是预防该病发生的关键。
The diagnosis and treatment of 13 cases of acute renal failure after T-tube drainage of biliary tract were summarized, and the causes were analyzed. Thirteen patients were diagnosed and treated early, none of them died. Biliary T-tube drainage complicated by acute renal failure occurred within 1 to 2 weeks after discharge, continuous drainage of T-tube and gastrointestinal dysfunction leading to hypovolemia is the main cause of acute renal failure; timely diagnosis and adequate Replenishment of blood volume is the key to the treatment of the disease; timely closure of T-tube and to prevent the continued loss of bile is the key to preventing the disease.