【摘要】 目的 分析拔T管致胆漏的原因及防治措施。方法 对1995～2005年304例行胆总管探查术后常规拔除T形引流管出现胆漏的10例病例进行回顾性分析。结果 拔T管后胆漏病人的平均拔管时间为(28.7±7.3)天,血浆白蛋白(33.4±2.5)g/L,血红蛋白(116.5±17.3)g/L;无胆漏病人T管拔除的平均天数是(24.3±6.5)天，血浆白蛋白(37.9±1.7)g/L,血红蛋白(143.4±12.7)g/L。结论 T型引流管拔除后胆漏的主要原因是病人的营养状态差。

    【关键词】 T管； 胆漏； 胆道

    Discussion of bile leakage after removel of T-tube from the common bile duct

    LIU Meng.

    Department of First Surgery,Ji County Pepole’s Hospital,Tianjin 301900,China

    【Abstract】 Objective The causes and treatment of bile leakage after removed T-tube.Methods 10 patients with bile leakage after removed T-tube were retrospectively analyzed during 1995～2005. Results The mean time of removed T-tube in patients with biliary leak were (28.7±7.3) days，the mean serum albumin level were (33.4±2.5)g/L, the mean hemoglobin level (116.5±17.3)g/L；while the mean time of removed T-tube in patients without biliary leak were (24.3±6.5)days, the mean serum albumin level were (37.9±1.7)g/L, the mean hemoglobin level (143.4±12.7)g/L.Conclusion Dystrophia is the reason of most biliary leak after removed T-tube. ......