摘要
胰十二指肠切除术(PD)的病死率已经降至3%以下^[1],但并发症的发生率仍然高达11%-65%^[2-3]。常见的术后并发症包括吻合口愈合不良、胰瘘、胃排空延迟。胰十二指肠切除术后出血(PPH)相对少见,但危险性较大。由于病理生理和临床表现的多样性,临床很难确定完善的诊断和治疗常规,迫切需要标准化治疗方案。笔者回顾性分析胰十二指肠切除患者中PPH的临床特点、发展过程及非手术和手术治疗的成功经验,报告如下。
出处
《天津医药》
CAS
北大核心
2012年第3期297-298,共2页
Tianjin Medical Journal
参考文献8
-
1Büchler MW,Wagner M,Schmied BM,et al.Changes in morbidity after pancreatic resection:toward the end of completion pancreatec tomy[J].Arch Surg,2003,138(12):1310-1314.
-
2Sch fer M,Heinrich S,Pfammatter T,et al.Management of delayed major visceral arterial bleeding after pancreatic surgery[J].HPB(Ox ford),2011,13(2):132-138.
-
3Sanjay P,Fawzi A,Fulke JL,et al.Late post pancreatectomy haem orrhage.Risk factors and modern management[J].JOP,2010,11(3):220-225.
-
4Wente MN,Veit JA,Bassi C,et al.Postpancreatectomy hemorrhage(PPH):an International Study Group of Pancreatic Surgery(ISGPS)definition[J].Surgery,2007,142(1):20-25.
-
5Bassi C,Dervenis C,Butturini G,et al.Postoperative pancreatic fis tula:an international study group(isgpf)definition[J].Surgery,2005,138(1):8-13.
-
6Choi SH,Moon HJ,Heo JS,et al.Delayed hemorrhage after pancre aticoduodenectomy[J].J Am Coll Surg,2004,199(2):186-191.
-
7Tsirlis T,Vasiliades G,Koliopanos A,et al.Pancreatic leak related hemorrhage following pancreaticoduodenectomy.A case series[J].JOP,2009,10(5):492-495.
-
8Camerlo A,Turrini O,Marciano S,et al.Delayed arterial hemor rhage after pancreaticoduodenectomy:is conservation of hepatic ar terial flow vital[J]?Pancreas,2010,39(2):260-262.
同被引文献29
-
1付由池,高志清,刘正才,付翔.胰十二指肠切除术后出血原因及其对策[J].陕西医学杂志,2007,36(2):152-154. 被引量:10
-
2曹利平,陈佰文,彭淑牖.黄疸对胰十二指肠切除术的影响分析[J].中华肝胆外科杂志,2006,12(7):444-446. 被引量:13
-
3易为民,陈道瑾.胰十二指肠切除术中及术后出血的处理[J].中国普通外科杂志,2007,16(5):474-476. 被引量:11
-
4Limongelli P,Khorsandi SE,Pai M,et al.Management of delayed postoperative hemorrhage after pancreaticoduodenectomy:a metaanalysis[J].Arch Surg,2008,143(10):1001-1007.
-
5Wente MN,Veit JA,Bassi C,et al.Postpancreatectomy hemorrhage(PPH):an international study group of pancreatic surgery(ISGPS)definition[J].Surgery,2007,142(1):20-25.
-
6Rumstadt B,Schwab M,Korth P,et al.Hemorrhage after pancreaticoduodenectomy[J].Ann Surg,1998,227(2):236-241.
-
7Sanjay P,Fawi A,Fulle JL,et al.Late post pancreatectomy haemorrhage,risk factors and modern management[J].JOP,2010,11(3):220-225.
-
8Tsirlis T,Vasiliodes G,Koliopanos A,et al.Pancreatic leak related hemorrhage following pancreaticoduodenectomy.A case series[J].JOP,2009,10(5):492-495.
-
9Choi SH,Moon HJ,Heo JS,et al.Delayed hemorrhage after pancreaticoduodenectomy[J].J Am Coll Surg,2004,199(2):186-191.
-
10Zhang J,Zhu X,Chen H,et al.Management of delayed post-pancreaticoduodenectomy arerial bleeding:international radiological treatment first[J].Pancreatology,2011,11(5):455-463.
-
1何生,陈添,黄少辉,王河清.介入结合中药治疗早期股骨头坏死62例疗效观察[J].中国基层医药,2011,18(14):1894-1895. 被引量:5
-
2李文清.中西医结合治疗痔疮术后愈合不良的临床疗效观察[J].按摩与康复医学,2012,3(30):190-190.
-
3董士中.2型糖尿病并急性心肌梗死冠脉造影与危险因素分析[J].中西医结合心脑血管病杂志,2009,7(10):1243-1244.
-
4吕少诚,史宪杰,梁雨荣,陈永卫,纪文斌,何蕾,罗英,赵之明.胰十二指肠切除术后胰瘘的防治[J].中华普外科手术学杂志(电子版),2011,5(2):51-52. 被引量:23
-
5张大方,朱卫华,李澍,郑晟旻,王福顺,朱继业,冷希圣.胰十二指肠切除术后胰瘘的危险因素分析[J].中华普通外科杂志,2016,31(5):370-373. 被引量:13
-
6张莉,樊静,王长宁.胰十二指肠切除术后护理应注意的几个问题[J].当代医学,2011,17(27):137-137. 被引量:1
-
7韩莉莉.中医望诊在冠心病诊断中的应用价值[J].中西医结合心血管病电子杂志,2015,3(23):33-34. 被引量:1
-
8栾世龙,李起,张建红,裴建祥,任林飞,张永华.胰十二指肠切除术后胰瘘发生原因及防治分析[J].现代医药卫生,2013,29(16):2428-2429.
-
9胡志刚,周振宇,黄拼搏,姜海,何传超,张贺云,徐康,张建龙,肖治宇,徐簦耀,李文滨,孙健,王捷.胰十二指肠切除术后出血危险因素分析[J].中国医师杂志,2015,17(12):1781-1784. 被引量:3
-
10王景泉,崔世昌,王海燕,朱仁平.去甲斑蝥素和康莱特对肝癌病人肝动脉化疗栓塞术后肝功能影响的观察[J].新中医,2003,35(9):24-25. 被引量:4