胰十二指肠切除术后出血的危险因素及其诊治

Risk factors and diagnosis and treatment of hemorrhage after the operation of pancreatic and duodenal

目的:分析胰十二指肠在切除术后出血涉及的一些危险因素以及诊治的可行办法。方法:收治行胰十二指肠在切除术患者22例,分析临床资料。结果:4例术后出血者,其发生的概率为18.2%。术中的出血量、术后腹腔感染等是导致患者术后出血的关联性因素。术后腹腔感染或胰瘘等是患者术后出血的独立性因素。结论:要明确预防术中或术后出现胰瘘以及控制腹腔出现感染的现象,将其作为术后减少出血的诊治方法。

Objective:To analyze the risk factors and the feasible methods of diagnosis and treatment of pancreatic and duodenalhemorrhage after resection.Methods:22 patients with pancreatic and duodenal resection were selected,and clinical data wasanalyzed.Results:4 cases of postoperative hemorrhage,the occurrence probability of 18.2%. Perioperative blood loss, postoperativeabdominal infection in patients with postoperative bleeding were correlation factors.Postoperative abdominal infection orpancreatic fistula were the independence factors of the patients with postoperative bleeding.Conclusion:To clear to preventintraoperative or postoperative after pancreatic fistula and peritoneal appeared signs of infection,it as a postoperative reducebleeding in the diagnosis and treatment methods.