摘要
目的探讨引发胆道损伤的原因及治疗方法。方法2000～2005年怀化芷江县人民医院44例胆道损伤病人的病历资料进行回顾性分析,从中归纳出胆道损伤的原因,同时总结出治疗经验。结果胆道损伤主要由医源性因素引起居多(42/44),其中又以医生误操作为主。发现胆道损伤后及时处理,包括术中修补或术后充分引流。结论胆道损伤的原因以医源性因素引起为主,提高医师的理论基础和技术水平可以减少胆道损伤的发生,同时对胆道损伤的治疗应该及早发现,合理处理。
[Objective] To research the causes and treatments of bile duct injuries（BDI）. [Methods] A retrograde study was made upon the patients with bile duct injures from 2000 through 2005 to find the causes and management. [Results] Medical original factors are the main causes of bile duct injure （42/44）, especially the mis-manipulations made by physicians. Management should be made as soon as the injury was found including repairing during the operation and post-operation drainage. [Conclusion] Since the medical original factors are the main causes for BDI, improvement of the theory and clinical skills may help to reduce BDI, to diagnose BDI in time and make a logical treatment may help to improve the outcome.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第13期2062-2063,共2页
China Journal of Modern Medicine
关键词
胆道损伤
预防
治疗
bile duct injury
prevention
treatment
