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胰十二指肠切除术患者的围手术期处理 被引量:7

Perioperative management of pancreaticoduodenectomy patients
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摘要 目的 探讨分析我院胰十二指肠切除术(PD)患者围手术期的临床资料,以降低围手术期风险.方法 回顾性分析总结解放军总医院2012年1月至2012年12月213例PD患者的临床资料.结果 213例患者均成功行PD,术后主要并发症包括胰瘘51例(24%)、胆瘘8例(3.8%)、肠瘘8例(3.8%)、胃瘫35例(16.4%)、腹腔感染16例(7.5%)、术后出血16例(7.5%)、术后死亡4例(1.9%).结论 加强PD患者的围手术期管理对于提高PD手术的安全性和降低术后并发症的发生有重要意义. Objective To investigate the perioperative treatment and reduce the surgical risk in patients after pancreaticoduodenectomy (PD).Methods We retrospectively analyzed the clinical data of 213 PD patients operated at the PLA General Hospital from January 2012 to December 2012.Results The postoperative complications included pancreatic fistula (51 cases,24%),biliary fistula (8 cases,3.8%),intestinal fistula (8 cases,3.8%),gastroparesis (35 cases,16.4%),abdominal infection (16 cases,7.5%),and postoperative bleeding (16 cases,7.5%).The perioperative mortality was 1.9% (4/213).Conclusion Strengthening the perioperative management of PD patients plays an important role in improving surgical safety and reducing postoperative complications.
出处 《中华肝胆外科杂志》 CAS CSCD 北大核心 2014年第7期514-518,共5页 Chinese Journal of Hepatobiliary Surgery
基金 军队十二五课题(CWS11J096)
关键词 胰十二指肠切除术 围手术期处理 手术后并发症 Pancreaticoduodenectomy Perioperative management Postoperative complication
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