膽囊切除術(shù)后出現(xiàn)黃疸1例原因分析
【中圖分類號(hào)】R575.6【文獻(xiàn)標(biāo)識(shí)碼】C
【文章編號(hào)】1672-5085(2007)11-0065-02
【摘要】膽囊切除術(shù)在基層醫(yī)院是常見手術(shù)之一,我院近10年共做膽囊切除術(shù)約300例,未出現(xiàn)嚴(yán)重后果。在2007年6月份,1例單純膽囊切除術(shù)后出現(xiàn)嚴(yán)重黃疸,術(shù)后第1天引流膽汁100mL,第2天150mL左右,病人黃疸逐漸減輕,術(shù)后5天病理報(bào)告為:“膽總管癌”。術(shù)后9天拆線,傷口愈合良好,病人黃疸基本消退;病人進(jìn)食正常,無疼痛感,膽汁量正常范圍(400~600mL),病人帶“T”型管回家療養(yǎng)。待病情穩(wěn)定后再行膽腸吻合術(shù)。
【關(guān)鍵詞】膽囊切除術(shù);黃疸;原因分析
After the gallbladder excision method appears the icterus 1 example reason analysis Liu Yiquan Qin Jianjun
【Abstract】The gallbladder excision method in the basic unit hospital is one of common surgeries,my courtyard nearly 10 years altogether make the gallbladder excision method approximately 300 examples,have not appeared the serious consequence.In june,2007,after 1 example pure gallbladder excision method appears seriously icterus,after the technique 1st day drainage bile 100mL,about 2nd day 150mL,the patient icterus gradually reduces,the technique latter 5 days pathology report is: “Gallbladder main pipe cancer”.The technique latter 9 days opens the line,the wound heals good,patient icterus basic retrogression; The patient eats food normally,does not have the aching feeling,the bile quantity normal range(400~600mL),the patient brings “T” the tube to go home convalesces.After waits the condition stable gallbladder intestines to tally again the technique. ......
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