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[在无并发症的胆囊切除术后常规使用鼻胃管插管和肝下(彭罗斯)引流是否必要?]

[Is it necessary to routinely use nasogastric intubation and subhepatic (Penrose) drainage after an uncomplicated cholecystectomy?].

作者信息

Orozco H, Sánchez Trejo F J, Ojeda M, Gómez Llata C

出版信息

Rev Gastroenterol Mex. 1979 Oct-Dec;44(4):175-80.

PMID:531440
Abstract

140 surgical patients were studied at the Navy Medical Center in Mexico City. All of them had a cholecystectomy performed. In addition, 29 patients were treated for hiatal hernia with troncular vagotomy, pyloroplasty and hiatal repair. 7 of them had a prophylactic appendectomy. Group A was treated with gastric intubation and subhepatic drainage. Group B received neither. Postoperative morbidity and hospitalization time less in Group B. It is suggested by the authors not to be use nasogastric intubation nor subhepatic drainage after elective cholecystectomy, although there are special circumstances where one or both procedures are indicated.

摘要

在墨西哥城的海军医疗中心对140名外科手术患者进行了研究。他们全部接受了胆囊切除术。此外,29名患者因食管裂孔疝接受了经胸迷走神经切断术、幽门成形术和食管裂孔修补术治疗。其中7人接受了预防性阑尾切除术。A组采用胃插管和肝下引流治疗。B组均未采用上述治疗。B组术后发病率和住院时间较短。作者建议,在择期胆囊切除术后,不应使用鼻胃管插管和肝下引流,尽管在某些特殊情况下需要进行其中一项或两项操作。

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