Laparoscopic cholecystectomy complicated by biliary peritonitis one cases of nursing.docVIP

 PAGE \* MERGEFORMAT 6 Laparoscopic cholecystectomy complicated by biliary peritonitis one cases of nursing [Keywords:] gallbladder polyps; laparoscopic surgery; bile peritonitis; Care Cholecystitis caused by gallbladder polyp is a traditional Chinese medicine’s ‘Xietong’ Category [1]. Is a more sustained abdominal or right upper quadrant pain or episodic cramps, fever, nausea, vomiting and characterized. More hot and humid due to feelings of evil, block liver and gallbladder, air-blocked, Shuxie disorders, bile leak Er Zhi. In the liver and gallbladder disease, once diagnosed, more appropriate surgery as soon as possible to avoid cancer. In recent years, our hospital adopted laparoscopic cholecystectomy for cholecystitis and cholelithiasis in patients with more than 400 cases [2], results were satisfactory. This article in respect of only one cases of postoperative bile leak complicated by biliary peritonitis led to the second operation of the nursing experience, the report is as follows. For example, a medical record Patients, male, 55 years old, because of right upper abdominal pain for 1 week after B-Tips for gallbladder polyps, on September 24, 2007 was admitted to hospital in improving the preoperative preparation of the next, on September 25, 2007 into the operating theater , in the epidural anesthesia during laparoscopic cholecystectomy. After the first 5 d later than 9 pm in patients with a sense of upper abdominal pain, showing progressive increase, and nausea and vomiting, abdominal pain, refused to press, checking vital signs were stable after injection tramadol for pain relief. Upon inquiry, the patient was informed that the evening into the high-fat diet, consider the high-fat diet because of the pressure after the intestine caused by increased bile duct leakage may be lost, so that the formation of bile leak bile leakage, peritonitis. The next day (after 6 d) re-entering the operating room line laparotomy, peritoneal lavage drainage. Confirme