| 胆汁并胰液外引流在胰头十二指肠切除术中的应用 |
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| 引用本文： | 何琳,陈春雷,陈曹臻,林晖,谢景泉.胆汁并胰液外引流在胰头十二指肠切除术中的应用[J].中国医师进修杂志,2004,27(6):20-21. |
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| 作者姓名： | 何琳 陈春雷 陈曹臻 林晖 谢景泉 |
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| 作者单位： | 广东医学院第二附属医院,普外科,广东,湛江,524003 |
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| 摘 要： | 目的 探讨预防胰头十二指肠切除术后胰、胆漏的发生原因。方法 对 4 8例胰头癌、壶腹癌患者 ,随机分成2组 ,一组为传统Child术式 2 7例 ,另一组为胆汁T管外引流并胰液胶管外引流的Child术式 2 1例。结果 传统Child术式发生胰胆漏 6例 ,引流的Child术式组无胰胆漏发生。结论 胆汁T管外引流并胰液胶管外引流在胰头十二指肠切除术中应用 ,能有效地预防胰、胆漏的发生。
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| 关 键 词： | 胰头十二指肠切除术 胰漏 胆漏 外引流 |
| 文章编号： | 1002-0764(2004)03B-0020-02 |
| 修稿时间： | 2003年10月24 |
Application of external drainage of bile and pancreatic juice in pancreatoduodenectomy |
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| HE Lin,CHEN Chun-lei,CHEN Cao-zhen,LIN Hui,XIE Jing-quan.Application of external drainage of bile and pancreatic juice in pancreatoduodenectomy[J].Chinese Journal of Postgraduates of Medicine,2004,27(6):20-21. |
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| Authors: | HE Lin CHEN Chun-lei CHEN Cao-zhen LIN Hui XIE Jing-quan |
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| Abstract: | Objective To study the way of preventing the leakage of bile and pancreatic juice after pancreatoduodenectomy.Methods 48 patients with carcinoma of vatar ampulla or head of pancreas were randomly divided into two groups,27 patients traditional Child type,21 patients Child type with drainage of bile and pancreatic juice respectively by T tube and rubber tube.Results Leakage of bile and pancreatic juice occured in 6 cases treated by traditional Child type, but no leakage occured in Child type with external drainage.Conclusion Application of external drainage of bile and pancreatic juice by T tube and rubber tube can effectively prevent the leakage of bile and pancreatic juice after pancreatoduodenectomy. |
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| Keywords: | pancreatoduodenectomy leakage of bile leakage of pancreatic juice external drainage |
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