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gai liang t guan chong xi fa zai dan dao wai ke de ying yong
Author(s): 
Pages: 4229
Year: Issue:  17
Journal: CHINESE JOURNAL OF MISDIAGNOSIS

Keyword:  胆道外科手术灌洗;
Abstract: 目的:为了提高经T管胆道冲洗的疗效.方法:在传统的T管腔内置入一根独立的冲洗管.结果:25例患者术后1 h内开始冲洗.术后前3 d平均T管日冲入量1619.2 ml,最多日冲入量3 500 ml,温氏孔旁胶管引出量15 ml,无冲洗渗漏并发症.与传统冲洗组相比,改良T管冲洗法的冲洗时间显著提前,冲洗量大,护理强度轻.比较两组腹腔引出量和拔除腹腔引流管的时间无显著性差异(P>0.05).结论:改良T管冲洗法安全、有效,可以显著提高经T管胆道冲洗的疗效,达到早期、及时,同步、彻底冲洗胆道的目的.不干扰手术进程,不延长手术时间,不增加患者痛苦,适用于胆道术后T管引流的所有患者.
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