I understand that: "T-tube tube time is generally 2 to 3 weeks after surgery in patients with normal body temperature, jaundice subsided, no abdominal pain, diet recovery, normal urine, bile drainage gradually decreased, the color was Transparent yellow or yellow-green, no stones, no sediment and floc, T-tube angiography without foreign body, residual stone, narrow, bile enteric anastomosis can be considered extubation. 2 ~ 3d. If the patient without abdominal pain, fever, jaundice, you can remove the T-tube. After extubation, observe the patient's appetite, jaundice, abdominal signs, vigilance bile leakage occurred. "But uncertain. The Is there any added? Lost the book too long. The The Find can not find.
Inoculation 4. Method 0: intramuscular injection. 2. Location: Large z Leg anterolateral (neonatal v and infant r), upper y-arm lateral p-angular muscle (child sons, adolescent 2 years and adult y). Some scholars have found that hepatitis B liver vaccination site affect the body response. Because 1 buttocks adipose tissue, immune active cells less 7, buttocks can not be injected into the k-1 can be injected into the k muscle, after injection of antibody titer low and lower w speed. While the antibody titer in the h-armor muscle was 85 times higher than that of the buttocks inoculum. So the current adult r vaccination of hepatitis B hepatitis c are selected three c angular muscle parts, and the baby z and neonatal r can be in the large i-leg muscle before the lateral inoculation. Note [4]: ??① in the whole process of inoculation 5, 3 can not use the same factory with the production of hepatitis B hepatitis B vaccine; ② if the first dose of y dose to 7, for some reason not on time Inoculation of the second b agent, it should be vaccinated as soon as possible, and the second m and the third party f between at least 4 to be separated by 2 k months 1; if only the third r is not inoculated on time should be vaccinated as soon as possible; Vaccine before 6 can not do y liver indicators liver test;
Bile duct smooth, sinus long can be pulled up
Principle so.
【Note】 2, cut 7 do not all the needle stabbed into the f, 6 to prevent the stem from the 4 Department of convergence at the break. Million g a q needle broken, should keep the local body and j body does not move, speed with vascular clamp clamp off the end of the pull, such as all buried in the p muscle, need to surgeon hand surgery. 2, long 0 for intramuscular injection of the patient, the injection site should be replaced alternately to 7 to reduce the occurrence of 6 induration. 2, the same amount of two kinds of liquid injection, pay attention to incompatibility, not in the same part of the injection. 8, according to the amount of liquid, viscous and irritating strength to choose the right syringes and needles. 2, 2 years old to 1 b under the infants and young children o should not use after the hip injection, due to the risk of injury sciatic nerve, can choose hip 5 muscle, hip small n muscle injection. 8, to avoid the scar, induration, inflammation, skin disease and c old needle injection. Congestion and t hematoma parts are also injected.
