术后胰瘘在外科ICU中的监护与治疗

Monitoring and treatment of postoperative pancreatic fistula in surgical intensive care unit

目的探讨术后胰瘘在外科ICU中监护和治疗的方法及其作用。方法回顾性分析2001年1月～2006年12月外科ICU收治的16例术后胰瘘病例的临床资料。结果16例患者在外科ICU的平均治疗时间为（12．4±9．1）d，病情平稳后均转回外科病房继续治疗，胰瘘于治疗后1～3个月愈合；12例出现严重并发症的患者，在ICU的密切监护和治疗下病情均有明显改善。结论ICU监护的加强、有效腹腔引流的建立、生长抑素的应用、积极的并发症处理和心理治疗，对提高术后胰瘘的救治成功率有重要意义。

Objective To explore the way of monitoring and treatment of postoperative pancreatic fistula in surgical intensive care unit（SICU）. Method Sixteen cases of postoperative pancreatic fistula that monitored and treated in SICU from January 2001 to December 2006 were analyzed retrospectively. Resuits Patients＇ average stay in SICU was（ 12.4 ± 9.1 ） days, all the cases,including 12 cases which with severe complications, returned to the wards of general surgery with steady conditions. All of the pancreatic fistulas were healed in one to three months. Conclusions Intensive monitoring and active treatment in SICU, including appropriate percutaneous drainage of abdominal collection, application of somatostatin,management of complications as well as psychotherapy, are of importance to increase the success rate of rescuing in postoperative pancreatic fistula.