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饮食养生:胆石症的诊断标准

文章目录一、胆石症的诊断标准二、 胆石症的护理常规三、胆石症患者的饮食禁忌有哪些胆石症的诊断标准1、胆石症的诊断标准胆结石的临床表现与胆结石的部位、大小、有无胆管梗阻、胆管梗阻程度以及有无并发症等因素有关。

Table of contents 1. Diagnostic criteria of cholelithiasis; 2. Routine nursing care of cholelithiasis; 3. Dietary contraindications of cholelithiasis; 1. Diagnostic criteria of cholelithiasis; clinical manifestations of gallstones are related to the location, size, presence or absence of biliary obstruction, degree of biliary obstruction and complications.

1.1、症状与体征 :胆结石在“静止期”(即无胆道梗阻与感染的时期)可无明星的症状和体征,或仅表现为一些非特异性的消化道症状,如肝区或上腹部钝痛、厌食油腻食物、泛酸、嗳气、烧心、腹胀等所谓“消化不良”或“慢性胃病”症状。

1.1 symptoms and signs: gallstones may have no symptoms and signs of stars in the "stationary period" (i.e. the period without biliary obstruction and infection), or only show some nonspecific gastrointestinal symptoms, such as blunt pain in liver region or upper abdomen, anorexia of greasy food, pantothenic acid, belching, heartburn, abdominal distention and other so-called "dyspepsia" or "chronic stomach disease".

1.2.3、影像学检查。

1.2.3 imaging examination.

胆结石小的如米粒,大的甚至如核桃,可以是一粒、两粒,也可达数千粒。

Gallstones can be as small as rice grains, and even as large as walnuts, which can be one or two grains, and can also reach thousands.

前几年我们做了一例胆囊切除术,胆囊内的结石竞有1720粒。

A few years ago, we had a cholecystectomy. There were 1720 stones in the gallbladder.

一般情况下,结石一旦形成就会越积越多,越长越大。

In general, once the formation of stones will be more accumulation, the longer the larger.

如果有结石卡在口径比较细的胆囊管。

If there is a stone stuck in the relatively small diameter cystic duct.

3、胆石症的病因胆囊结石与多种因素有关。

3. The etiology of cholelithiasis is related to many factors.

任何影响胆固醇与胆汁酸浓度比例改变和造成胆汁淤滞的因素都能导致结石形成。

Any factors that affect the ratio of cholesterol to bile acid and cause cholestasis can lead to the formation of gallstones.

在我国西北地区的胆囊结石发病率相对较高,可能与饮食习惯有关。

The incidence rate of gallstones in Northwest China is relatively high, which may be related to eating habits.

2、遵医嘱使用镇痛剂。

2. Use analgesics as directed.

3、胆石症急性发作应监测生命体征、尿量及腹痛情况。

3. The vital signs, urine volume and abdominal pain should be monitored in patients with acute cholelithiasis.

4、术后的护理4.1、定时观察生命体征的变化,注意有无血压下降、体温升高及尿量减少等全身中毒症状,及时补充液体,保持出入量平衡。

4. Postoperative nursing 4.1, observe the changes of vital signs regularly, pay attention to whether there are systemic poisoning symptoms such as blood pressure drop, body temperature rise and urine volume decrease, timely replenish fluid, and maintain the balance of intake and output.

4.2、t形管护理:妥善固定,防扭曲、打折,防脱落,保持t形管无菌,每日更换引流袋,下地活动时引流袋应低于胆囊水平以下。

4.2. T-tube care: properly fixed, prevent distortion, discount, prevent falling off, keep the T-tube sterile, change the drainage bag every day, when going down to the ground, the drainage bag should be lower than the gallbladder level.

观察并记录每日胆汁引流量、颜色及性质。

The volume, color and nature of bile drainage were observed and recorded.

夹闭管道时,观察有无体温增高、腹痛、恶心、呕吐及黄疸等不适。

When clamping the tube, observe whether there is temperature rise, abdominal pain, nausea, vomiting and jaundice.

5、健康的指导5.1饮食要少油腻,宜高维生素、低脂饮食,烹调方式以蒸煮为宜;少吃油炸类的事物。

5. Health guidance 5.1 diet to be less greasy, appropriate high vitamin, low-fat diet, cooking method to cooking is appropriate; eat less fried food.

胆石症患者的饮食禁忌有哪些1、忌吃含胆固醇较高的的食物:如动物心、肝、脑、肠以及蛋黄、松花蛋鱼子及巧克力等。

What are the dietary taboos of cholelithiasis patients? 1. Avoid foods with high cholesterol: such as animal heart, liver, brain, intestine, egg yolk, egg yolk, fish roe and chocolate.

油多的糕点也不宜多吃,因为过多的脂会引起胆囊收缩,导致疼痛。

Greasy pastry is not suitable to eat, because too much fat will cause gallbladder contraction, leading to pain.

4、忌食辛辣刺激的调味品:如辣椒、辣椒油、五香粉、胡椒面等。

4. Avoid spicy condiments: such as chili, chili oil, five spice powder, pepper noodles, etc.

5、忌烟、酒、咖啡等:这些带有刺激性的食品能使胃酸过多,胆囊剧烈收缩而导致胆道口括约肌痉挛、胆汗排出困难而诱发胆绞痛。

5. Avoid smoking, alcohol, coffee and so on: these stimulating foods can make stomach acid too much, gall bladder contractions violently and lead to sphincter spasm of biliary tract mouth, difficulty in excreting bile sweat and inducing biliary colic.

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文章目录一、胆石症的诊断标准二、 胆石症的护理常规三、胆石症患者的饮食禁忌有哪些胆石症的诊断标准1、胆石症的诊断标准胆结石的临床表现与胆结石的部位、大小、有无胆管

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