摘要
目的:探讨阑尾切除术后腹腔引流管拔除后并发引流孔长期渗出的原因及对策。方法:我院2000年7月至2010年7月行阑尾切除术并腹腔冲洗引流术的患者共1882例,对腹腔引流管拔除后并发引流孔长期渗出的26例患者临床资料进行回顾性分析。结果:1882例患者中发生引流孔长期渗出26例,并发率为1.38%,引流管拔除后渗出时间最短8d,最长78d,其中3例为引流孔闭合后又破溃渗出。结论:腹腔引流管拔除后并发引流孔渗出是阑尾切除术后较为常见的一种并发症,引流孔大多数在3d内停止渗出并闭合,少数病人出现引流孔长期渗出不止,并发引流孔长期渗出的原因复杂,应根据不同原因做出相应的处理。
Objective: Appendectomy after shunt drainage holes after removal of complicated long --term seepage causes and countermeasures. Method: In our hospital from July 2000 to July 2010 trip appendectomy and drainage of peritoneal lavage in patients with a total of 1882 cases of shunt drainage holes after removal of complicated long--term leakage of 26 cases were analyzed retrospectively. Result: 1882 cases occurred in patients with long--term seepage drainage hole 26 cases, complications rate was 1.38%, drainage tube removed 8 days after the shortest seepage, the longest 78 days, including 3 cases of exudative drainage hole closed after ulceration. Conclusion: Shunt leakage after removal of complicated drainage holes are more common after appendectomy as a complication of drainage holes to stop the majority of the leaking and closed within three days, a few patients long --term seepage drainage hole is more than, concurrent drainage holereasons for long--term seepage complex should make the appropriate treatment for different reasons.
出处
《河北医学》
CAS
2010年第12期1454-1456,共3页
Hebei Medicine