胰十二指肠切除术后胰瘘的危险因素及护理对策

目的研究胰十二指肠切除术后出现胰瘘的危险因素及护理对策。方法回顾分析本院普外科收治的70例接受胰十二指肠切除术患者的临床资料,观察胰瘘情况及其治疗情况,并分析其发生原因并制定相应护理对策。结果胰腺质地、糖尿病、高血压均为导致胰瘘的独立危险因素。遵医嘱对本组出现胰瘘患者进行抗生素用药处理,采用抑制胰液分泌的药物控制病情发展,患者在用药1周后引流液逐渐变少,2周后患者均康复出院,患者生存质量评分各项指标较好。结论临床针对胰瘘患者术后制定相应护理干预措施并做好并发症预防工作,并积极分析胰瘘危险因素,患者治疗效果较好且生存质量评分较高。

Risk factors and nursing countermeasures of pancreatic fistula after pancreatic and duodenal resection

Objective To study the risk factors and nursing countermeasures of pancreatic fistula after pancreatic and duodenal resection.Methods The clinical data of 70 cases underwent pancreatoduodenectomy in our hospital was retrospectively analyzed,the pancreatic fistula condition and its treatment were observed,and the causes was analyzed,nursing countermeasures were explored.Results Pancreatic texture,diabetes,hypertension were independents risk factors.The patients with pancreatic fistula were treated with antibiotics,and the disease was controlled by pancreatic secretion inhibitor,drainage fluid was gradually decreased after one week medication,the patients were discharged after 2 weeks of treatment,and quality of life were better.Conclusion Postoperative nursing,formulating corresponding nursing intervention measures and risk factor analysis have better efficacy and higher quality of life score.