《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (08): 669-670.

• 临床观察 • 上一篇    下一篇

医源性胆道损伤处理22例分析

杨中民; 郑德坤; 王鹏; 李冠雄   

  1. 1.陕西省榆林市第二医院外科 陕西榆林市 719000;2.齐齐哈尔市和平医院外科 黑龙江齐齐哈尔市 161000;3.北大医院集团北京市第二医院外科 北京市 100031
  • 收稿日期:2005-06-13 出版日期:2005-08-25 发布日期:2005-08-25

Treatment of iatrogenic biliary-tract injury: 22 cases report

YANG Zhong-min, ZHENG De-kun, WANG Peng, et al   

  1. The Department of Surgery, The2nd Hospital of Yulin City, Yulin 719000, Shanxi, China
  • Received:2005-06-13 Published:2005-08-25 Online:2005-08-25

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摘要： 目的探讨医源性胆道损伤的预防和处理。方法回顾分析22例医源性胆道损伤的原因及治疗方法。结果行胆管空肠Roux-y吻合11例、胆管对端吻合4例、胆管修补2例、胆道引流或单纯腹腔引流5例;1例LC致胆总管损伤胆漏,中毒性休克死亡,1例CC术后腹腔引流的多脏器功能衰竭死亡,其余均治愈。结论医源性胆道损伤的原因较多,应尽早发现,及时处理。

关键词: 医源性损伤, 胆管, 预防, 治疗

Abstract: ObjectiveTo explore the methods of prevention and treatment of the iatrogenic biliary-tract injury.Methods22 cases with the iatrogenic biliary-tract injury were analyzed retrospectively.ResultsModified Roux-en-Y choledochojejunostomy was performed in 11 cases, end-to-end anastomosis of bile duct in 4 cases, repair of bile duct in 2 cases, a drainage of the inter bile duct and the abdominal cavity in 5 cases. Only 1 case of common bile duct injury after laparoscopic cholecystectoy was death from the toxic shock, another case of bile duct injury after conventional cholecystectoy with the drainage of abdominal cavity was death from multiple system organ failure, all of the other patients were cured.ConclusionThe iatrogenic biliary-tract injury may be causes variously, and should be discovered as soon as possible and be operated in time.

Key words: iatrogenic injury, biliary-trac, prevention, treatment