What is the care of the T-type drainage tube?
2.4 t-type tube around the skin care
Daily cleaning and disinfection t-shaped tube around the skin 1, and covered with sterile gauze, if bile leakage, should be promptly replaced gauze, and local coated zinc oxide ointment protection. Should be strictly according to doctor's application of antibiotics, control infection.
2.5 extubation care
This group of patients were 12 to 14 days after removal of t-type drainage tube, the extubation indications: jaundice subsided, no abdominal pain, no fever, normal urine, bile drainage gradually reduced, the color was transparent yellow or yellow-green, No pus, stones, no sediment and floc, can be considered extubation. Before extubation in the x-ray line by the line of cholangiography, to understand the bottom of the bile duct is smooth, if the bile duct patency, can be caught 3 days; if no fever, abdominal pain, jaundice, you can remove the t-tube. 1 week after extubation, should be alert to bile leakage, or even peritonitis, to observe whether the temperature of jaundice and abdominal pain attack, and when the treatment.
2.6 observe the patient's general condition
Biliary tract disease after the nutritional support of patients with early parenteral nutrition, intravenous input of water and electrolyte, amino acids to improve the overall nutritional status, to encourage early activities of patients to promote gastrointestinal peristalsis recovery, to prevent intestinal adhesion. Gastrointestinal function recovery anal defecation, exhaust, to guide patients with a small amount of meals to eat high protein, high calorie, rich in digestible low-fat diet of vitamins.
Patients should note:
(1) T-tube surgery in patients with T-tube drainage, postoperative T-tube plays a very important role, so patients and their families should cooperate with health care management T-tube.
(2) bedridden patients in the stand and bed activities, should pay attention to protect the drainage tube, beware of pulling led to T-tube off.
(3) after the gradual recovery of the patient's body, get out of bed activities, do not mention the drainage bag too high, so as not to bile reflux, causing retrograde bile duct infection, drainage bags should be placed lower than the patient's abdominal incision level.
(4) long-term patients with T-tube, should be regularly rushed to the local hospital, available saline and gentamicin rinse. Generally 1 to 2 times a week to prevent the T-tube was bile mud or turbid bile blockage, rinse when not too much or too fast, so as not to cause abdominal pain and fever.
(5) bile color is normal, was yellow or yellow-green, daily 500 ~ 800 ml, sometimes short-term after the reduction of bile secretion may be less than 200 ml, without special treatment. Should strengthen the liver treatment, promote bile secretion. If the drainage of bile color changes, should be promptly reported to the medical staff, in order to observe and deal with.
Biliary surgery patients, whether it is common bile duct incision exploration, or biliary tract formation or reconstruction surgery, at the end of surgery, the vast majority of the common bile duct to put a T-type rubber tube, drainage bile.
Its purpose:
(1) drainage of bile, reduce the pressure inside the bile duct, the bile duct suture smooth healing, to avoid biliary fistula.
(2) T-tube in the bile duct from the role of support, to avoid the formation of bile duct stenosis.
(3) T-tube can be used as a channel for the examination and treatment of bile duct disease.
