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GriLLBC, e1Biechemicalc} humancer ~ cal.-M base lvetissueah Ting imracer ~ calappl ~ ionpros ~ aglandinEPtD8 damn andLns, 1993,45375. T tube bile leakage occasioned at improper handling of 3 cases of Hu Zhifeng Wang Shide (Ye Shan Hospital, Maanshan Seventeen 243O00) With the widespread evolution of biliary tract surgery, manifold complications have occurred, T tube bile leakage caused by unfit handling is a rare and solemn complications of ..., the authors have come in 3 cases. Combining file points off below. L cases of clinical male and 2 females. Aged 25 to 60 years antique. 3 patients had common bile duct stones. 1 patient with rheumatoid arthritis and a history of extra than 20 years, long- term spoken glucocorticoid: 1 circumstance of caustic sensitive cholangitis, underwent emergency surgery, and cirrhosis of the liver, the enzyme cyanide C alternate 120u / L, aggregate protein 50g / L, albumin 25L; other l cases 25 days later distribution. 3 surgical procedures were successfully inverted. Two weeks behind the operation were T tube cholangiography, showing bile duct patency, direcotry T tube afterward two days without embarrassment pull T tube. Extubation after abdominal ache,cheap ghd straighteners, fever, herve leger marketing, abdominal warmth, rebound tenderness, brawn tension , bile-like liquid out of abdominal stab 2 side laparotomy, intraoperative technical field revolves even penetrate, sinus lacking, with bile flow. Separation to the common bile duct, common bile duct incision and abdominal re-set T tube drainage. l cases of T tube drainage port from the original set of human catheter, bile outflow. After re-infusion manipulation, advocate, anti-infection treatment. Were 1 to 3 months after extubation, were the extra acne. Discuss the common bile duct exploration surgery has been widely carried out in basic hospital, maximum patients regained well. T tube bile leakage caused by improper handling infrequent. Analyze the causes are: ① patients had complications such for penniless health + cirrhosis, hypoproteinemia,ghd uk, anemia, antique. L down the group due to severe acute cholangitis related with liver cirrhosis, hypoproteinemia, GHD gl? tteisen, emergency surgery,ghd straighteners, however after liver support treatment, repeatedly found that sinus surgery above low; ② long-term use of adrenal cortex hormones,ghd styler, affecting the surrounding tissue T tube the repair process, are incapable to form a sinus, the group is likewise one case of such a location; ③ suture of common bile duct, the blunder with the T tube closure, pull cut duct while T Camp; ④ camp pulling coerce T too rapid, resulting in the common bile duct alternatively sinus was torn; @ distal common bile duct stone or stricture residual spring, the common bile duct oppression increased, increasing the risk of bile leakage; ⑥ T tube placed properly, extravagant save in the abdominal hole, sinus can no be fully formed 【2; ⑦ nurses after thoughtless mistake when the T tube drainage tube cleared; ⑧ T tube in muscular, ghd italia, when patients obtain up stand up do not disburse attention, may be T tube pulled out. Although bile leakage caused by many reasons, as long as the trend cited medicinal care, patients with the nice, tin be avoided. Of old also, there are complications were, they would rather stretch the T tube indwelling time, and offensive treatment of complications. Seam stitching to avoid common bile duct T tube, T tube mantled around the omentum by near to shorten the T tube in the abdominal crater of the voyage, T tube after extraction of the skin must be firmly fixed, enhanced care, tn requin pas cher, to prevent the prolapse or misuse of pulling their own. Stubbs T tube should not rude, forced to be uniform, moderate. T tube removal after the ailment in patients ought be closely inspected, where there is low behind ache, abdominal pain and fever,ghd pink, and should be family in time forward the sinus catheterization business human, such as additional disease should be promptly re-precision surgery.

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