1.1.3. Venous hemorrhage around the common bile duct. In patients with cirrhosis and portal hypertension, there are often dilated veins around the common bile duct. When the cystic duct is separated, it can cause venous injury and bleeding.
2. The function of the gallbladder is to store and concentrate bile for the purpose of draining bile into the duodenum after eating to help digestion.
The role of the gallbladder is to store and drain bile into the intestinal cavity to ensure that the food you eat can be digested.
When we sleep overnight, the gallbladder is full of bile. After getting up, we eat breakfast regularly. The gallbladder excretes the bile stored overnight to help digest food, and the gallbladder itself is relaxed.
After cholecystectomy, of course, there is no "store" of bile, but with the passage of time, the bile duct can be compensated to expand and partially replace the gallbladder.
In acute abdomen, it is second only to acute appendicitis and intestinal obstruction.
In addition, there are gallbladder polyps, gallbladder adenomyosis and other benign diseases.
Gallbladder cancer is a malignant disease of gallbladder.
It is worth mentioning that chronic cholecystitis, gallbladder polyps and other chronic diseases of the gallbladder have the risk of malignant transformation into gallbladder cancer, which is much higher than that of normal people.
2. He had a history of obstructive jaundice.
3. The common bile duct was markedly dilated.
4. Intraoperative cholangiography showed stones in the bile duct.
In general, for the elderly people after cholecystectomy, it is recommended to develop a regular, low-fat, low-calorie diet habits, and promote quantitative, regular diet.
To achieve the "five Musts" and "five Taboos": to pay attention to food hygiene, to prevent dirty food; to eat more vegetables and fruits; to emphasize cooking with vegetable oil; to eat more lean meat, chicken, fish and bean products and other protein, but need to pay attention to the right amount; to eat can promote bile secretion and relaxation of bile duct sphincter and cholagogic food, such as hawthorn, plum, corn silk, etc.
Avoid food with high cholesterol, such as animal viscera; avoid high-fat food, because it can cause gallbladder contraction, such as fat meat, lard, fried food; avoid overeating, because it can promote bile secretion; avoid spicy food; five taboo smoke, wine, oil, tea and coffee.
It should be noted that after anal exhaust, you can start to enter a small number of times liquid diet.
But it's better not to drink sweet soup at first, because sweet things are easy to produce gas and cause abdominal distension, and then gradually transition to a semi liquid diet, such as porridge, noodles, etc., you can eat soft rice in 7-9 days.
2. Keep defecation unobstructed, pay attention to supplement crude fiber food, increase intestinal peristalsis and dredge stool properly.
If there is more than 3 days do not understand the situation of defecation, you can take some laxatives (lactulose, etc.).
3. Insist on taking cholagogic drugs, such as Xiaoyan Lidan tablets, shudantong, ursodeoxycholic acid capsules, etc. for specific medication, please consult a specialist.
4. Daily life is regular, the mood should be relaxed, and the depression of keeping optimistic mood will make bile flow not smooth.
5. Adhere to exercise, strengthen the body, regular exercise can reduce cholesterol and dredge the biliary tract, even after the body is fully recovered, also pay attention to work and rest, do not overwork.
6. Keep the drainage tube clean and pay attention to the drainage condition. If there is a drainage tube, pay attention to keep the pipeline clean, record the drainage situation (including the color and quantity of drainage fluid), and visit the hospital regularly.
If there is abdominal pain around the indwelling tube, skin redness, swelling and exudation, and abnormal drainage fluid, timely treatment is required.
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