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残端漏
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  stump lea
     Results Cause of biliary fistula included injury of liver bed cholangioles or tiny accessory hepatic duct in 15 cases,biliary fistula after in cision and exploration of common bile duct in biliary duct cancer in 1,stump lea kage of cystic duct in 1,early T-tube inadvertent sliding off or after T-tube removement in 10.Twenty-one patients underwent conservative therapy (75%) and 7 reoperation (25%).
     结果 术后发生胆漏的原因为肝床毛细胆管或细小副肝管损伤 15例,胆总管癌切开探查后胆漏 1例,胆囊管残端漏 1例,T管早期滑脱或拔T管后胆漏 10例,T管引流术后护理不当 1例。
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  “残端漏”译为未确定词的双语例句
     Postoperatively, biliary leakage occurred in 3 cases (3.2%) and residual stones in the common bile duct were found in 3 cases (3.2%), which were all cured by open surgery combined with ERCP, EST, and endoscopic nasobiliary drainage (ENBD). No iatrogenic injuries happened.
     术后胆囊管残端漏3例(3.2%),胆道残余结石3例(3.2%),经开腹手术结合ERCP、EST、鼻胆管引流(endoscopicnasobiliarydrainage,ENBD)治愈,全组无医源性损伤。
短句来源
     Among them 2 cases were transective injury of common bile duct,1 cauterization of common bile duct,2 clip of common bile duct,1 cystic duct bile leakage,and 3 gallbladder bed injury.
     其中胆道损伤 9例 ,包括胆总管横断 2例 ,胆总管电灼伤 1例 ,胆总管夹闭 2例 ,胆囊管残端漏 1例 ,胆囊床损伤或胆囊迷走胆管损伤 3例。
短句来源
     Postoperative complications:The leakage o f duodenal stump was in 1 case,and hemorrhage of upper digestive tract in 2 case s.
     手术后并发症十二指肠残端漏1例及上消化道出血2例,均经非手术疗法而治愈。
短句来源
     786 patients undergoing bile duct surgery from 1991 to 2000. Results Injury of liver bed cholangiole or tiny accessory hepatict duct occured in 8 cases, 1 developed after incision and exploration of CBD in biliary duct cancer, stump leakage of cystic duct in 7, early T tube inadvertent sliding off or after T tube removement in 10. 21 patients underwent conservative therapy (78%), 6 reoperation (22%).
     结果  2 7例术后发生胆漏的原因为肝床毛细胆管或细小副肝管损伤 8例、胆总管癌切开探查后胆漏 1例、胆囊管或胆囊颈部残端漏 7例、T管早期滑脱或拔T管后胆漏 10例、T管引流术后护理不当 1例。 本组保守治疗 2 1例( 78% ) ,再手术治疗 6例 ( 2 2 % ) ;
短句来源
     Causes of bile leakage included injury of bile duct in 2 cases,injury of liver tissue that the gallbladder was embedded in 7 ,leakage of stump of cystic duct, pentrating injury of common bile duct,and remain of gallbladder mucose in one each.
     结果 胆漏发生率 0 .79% ,胆漏原因 :肝外胆管损伤 2例 ,胆囊床肝面伤 7例 ,胆囊管残端漏、胆总管穿刺伤及胆囊粘膜残留各 1例。
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     Anastomotic cut leakage,nub leakage and obliquus syndrome caused by high pressure were prevented effectively.
     有效防止高压造成的吻合口残端及倾倒综合征等。
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     The Application of an Earth Leakage Circuit-Breaker
     电开关的应用
短句来源
     Removal of the retained cervical stump
     宫颈残端切除
短句来源
     the second, citations are absent;
     (二)收;
短句来源
     Bile leak through the stump of the cystic duct was occurred after 3 days in one case, which had a titanium clip on the farend of CBD.
     B组术后第3天有1例发生胆囊管残端
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Data of 12-year-prevention of subtotal postgastrectomy complications were reviewed. Among 251 cases , there were 4 cases of B I, 247 cases of BII (98.4%). After subtotal gastrectomy, regurgitation gastritis occurred in 4 cases including 2 cases of BI and 2 of BII respectively. The occurrence rate of postoperative complications of BII was 0.81% . No such complications as hemorrhage, anastomotic leakage or obstruction, gastric emptying disturbance, dumping syndrome, hypoglycemic syndrome, recurrent ulcer and...

Data of 12-year-prevention of subtotal postgastrectomy complications were reviewed. Among 251 cases , there were 4 cases of B I, 247 cases of BII (98.4%). After subtotal gastrectomy, regurgitation gastritis occurred in 4 cases including 2 cases of BI and 2 of BII respectively. The occurrence rate of postoperative complications of BII was 0.81% . No such complications as hemorrhage, anastomotic leakage or obstruction, gastric emptying disturbance, dumping syndrome, hypoglycemic syndrome, recurrent ulcer and stump gastric carcinoma, etc. were found after the operation.

对12年来胃大部切除术后并发症的预防进行总结,在251例中BⅠ式4例,BⅡ式247例(98.4%),术后发生反流性胃炎4例,其中BⅠ式和BⅡ式各2例,BⅡ式术后并发症发生率为0.81%,效果最佳。无术后出血、十二指肠残端漏、吻合口瘘或梗阻、胃排空障碍、倾倒综合征或低血糖综合征、复发溃疡、残胃癌等其它并发症发生。

Thirteen laparoscopic cholecystectomy patients with biliary complications were studied over a two year period.Ten of the 13 patients' complications could be attributed to biliary injury, including five bile leaks from a minor ductin the liver, one lateral injury to the extrahepatic bile duct, one accessory bile duct leak with lateral injury to the hep-atic duct, and three clip ligations and diyisions of a major bile duct. Of the ten patients, one died uf bile peritonitisassociated with an ARDS, while the rest...

Thirteen laparoscopic cholecystectomy patients with biliary complications were studied over a two year period.Ten of the 13 patients' complications could be attributed to biliary injury, including five bile leaks from a minor ductin the liver, one lateral injury to the extrahepatic bile duct, one accessory bile duct leak with lateral injury to the hep-atic duct, and three clip ligations and diyisions of a major bile duct. Of the ten patients, one died uf bile peritonitisassociated with an ARDS, while the rest of the patients recovered with no stenosis in the bile duct after a follow upperiod of one to two years. In the remaining three patients, there were two ocurrences of stones being retained in thecystic duct of the stump, and one cystic duct leak as a result of clip occlusion failure. The possible mechanisms, pre-vention and management of biliary complications were discussed.

该文报告腹腔镜胆囊切除术中的胆管并发症13例,10例胆管损伤,其中胆床部小胆管漏5例,肝外胆管侧壁伤1例,副胆管漏伴肝管侧壁伤1例,主胆管钳闭或横断3例。上述10例中,1例因胆汁性腹膜炎伴ARDS死亡,余9例治愈,随访1~2年,未见有胆管狭窄。另3例中,胆囊管残端漏1例,胆囊管残端结石存留2例。并对产生并发症可能的原因,它们的预防和处理进行了讨论。

This article reports the bile leakage after cholecystectomy in 25 cases. The maincauses are:injuries of the accessorybile or aberrant hepatic duct,the minute broken opening of the extrahepatic ducts non-fitting ligated cholecystic duct and the needle hole suturing common bile duct putting on "T" tube. The Preventive methods are:preventing injury of the common bile duct,fitting cholecystic duct,ligating the minute aberrant hepatic duct,and examining the operative area before the closure of the abdominalcavity....

This article reports the bile leakage after cholecystectomy in 25 cases. The maincauses are:injuries of the accessorybile or aberrant hepatic duct,the minute broken opening of the extrahepatic ducts non-fitting ligated cholecystic duct and the needle hole suturing common bile duct putting on "T" tube. The Preventive methods are:preventing injury of the common bile duct,fitting cholecystic duct,ligating the minute aberrant hepatic duct,and examining the operative area before the closure of the abdominalcavity. ERCP can help locate the position and diagnose causes of the bile leakage after the operation. An immediate reoperationshould be performed to overcome the bile leakage complicated acute peritonitis,the suspected bile duct injury,the leakage of thecholecystic duct,stump,or much collection of the inferiohepatie space.

报告胆囊切除术后胆汁漏25例,主要原因为肝外胆管、副肝管、迷走胆管损伤,肝外胆管微小破口,胆囊管结扎不完善,胆总管探查T管旁或缝合胆管的针眼漏。预防措施:主要是避免胆管损伤,完善处理胆囊管,迷走胆管和细小的副肝管可以结扎,关胸前仔细检查手术野。术后胆汁漏、行ERCP检查,有助于明确部位和原因。胆漏并腹膜炎、疑有胆管损伤、胆囊管残端漏或肝下大量积液、应及时开腹再手术。

 
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