70 cases of bile duct T tube drainage after nursing.docVIP

 PAGE \* MERGEFORMAT 8 70 cases of bile duct T tube drainage after nursing [Keywords:] bile duct surgery, drainage, care Bile duct T tube drainage is an important post-operative treatment of patients, it is to guarantee the results of operations, to prevent bile duct stenosis, obstruction and other complications is particularly important [1], now the T tube drainage of nursing experience are summarized below. 1 Clinical data The group of bile duct T tube drainage after 70 patients, 25 males and 45 females, aged 36 to 70 years, mean 53 years, 42 cases of bile duct stones, gallbladder cancer in 8 cases, 3 cases of bile duct cyst, cholecystitis, 12 cases intrahepatic bile duct stones in 4 cases, 1 case of acute suppurative cholangitis. After cholecystectomy, bile duct exploration, T tube drainage after surgery were cured. 2 Care 2.1 preoperative psychological care Preoperative missionary guide, indwelling T tube for patients to explain the meaning and importance of the patient to eliminate worry, emotional stability. 2.2 Postoperative care 2.2.1 properly fixed And maintain proper drainage tube fixed T is the bile duct patency key to successful operation. In T tube leads to the abdominal wall and skin suture at a fixed, and the T tube with a tape fixed to the abdominal wall, while tied to athletic, to prevent the T tube prolapse, but T tube can not be fixed on the bed, turning patients to prevent or anesthesia is not completely clear out before the T tube, postoperative patients with restless hands bound to be someone accompany or pull out to avoid the T tube [2]. Once inadvertently T tube removal, should be immediately reported to a doctor, and re-catheterization. If T tube prolapse late, and patients with no obvious symptoms, you can unplug the T tube or placed in sterile catheter to drainage. 2.2.2 Observation condition 24 h bile were observed and recorded the amount, character, color, transparency, with or without sepsis, s