胰十二指肠切除术的围手术期处理——基于并发症防治的液体管理与营养支持

Perioperative management of the pancreaticoduoden-ectomy： fluid administration and nutritional support based on complication prevention and treatment

胰十二指肠切除术是腹部外科最为复杂的手术之一。适用该术式的患者往往伴有其他基础疾病．如黄疽、肝功能异常、糖尿病或营养不良等，其术后并发症发生率及死亡率均较高,尤以胰漏、胆瘘和胃肠功能障碍多见。对围手术期患者进行液体管理和营养支持治疗．在降低并发症发生率和病死率方面具有重要意义。

Pancreaticoduodenectomy （PD） has been widely accepted as one of the most complicated operation in abdominal surgery. The patients who receive PD operation always have other concurrent conditions, such as jaundice, diabetes, liver dysfunction, and malnutrition. Pancreatic fistula, biliary fistula and gastrointestinal dysfunction are common complications after PD. Proper perioperative management and fluid administration can reduce postoperative complications and the mortality.