肝泡型棘球蚴病术后并发胆漏的临床进展

Clinical Progress of Bile Leakage after Surgery for Hepatic Alveolar Echinococcosis

摘要: 胆漏(Bile leakage)是肝泡型棘球蚴病术后常见并发症之一，指胆汁或者含有胆汁的液体通过异常通道持续进入腹腔的一种疾病。胆漏主要临床表现有发热、腹痛、黄疸、腹膜炎、经皮肤瘘管流出胆汁等，严重者可引起休克甚至死亡。作为肝泡型棘球蚴病术后临床常见病症之一，具有病情严重、进展迅速等特点，患者术后的胆漏长期迁延不愈延长了康复时间同时还增加身心及经济负担。因此，本文对肝泡型棘球蚴病手术后并发胆漏进行相关综述。

Abstract: Bile leakage is one of the common postoperative complications of hepatic alveolar echinococcosis. It refers to a disease in which bile or liquid containing bile continuously enters the abdominal cavity through abnormal channels. The main clinical manifestations of bile leakage include fever, ab-dominal pain, jaundice, peritonitis, bile outflow through skin fistula, etc. Severe cases can cause shock or even death. As one of the common clinical symptoms of hepatic alveolar echinococcosis af-ter operation, it has the characteristics of severe condition and rapid progress. The long-term delay of postoperative bile leakage of patients extends the recovery time and also increases the physical, mental and economic burden. Therefore, this article reviews the postoperative bile leakage of he-patic alveolar echinococcosis.