| 胰十二指肠切除术后严重并发症的防治 |
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| 引用本文： | 沈雄山,李卫民,樊立,张涛,胡超华,晏华军,刘宁,龚光伟.胰十二指肠切除术后严重并发症的防治[J].临床外科杂志,2013(11):851-852. |
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| 作者姓名： | 沈雄山 李卫民 樊立 张涛 胡超华 晏华军 刘宁 龚光伟 |
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| 作者单位： | 华中科技大学同济医学院附属孝感医院普外科,432000 |
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| 摘 要： | 目的 探讨胰十二指肠切除术（pancreaticoduodenectomy,PD）后严重并发症发生后的防治方法.方法 回顾性分析了2004年1月至2009年12月实施PD手术65例的临床资料.结果 术后16例患者出现术后并发症28例次,并发症发生率24.6％.术后死亡2例,围手术期死亡率为3.0％.结论 采取适当的手术方法可以预防术后胰漏及出血,发生胰漏及出血后采取适当的处理措施可以降低术后死亡率.
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| 关 键 词： | 胰十二指肠切除术 并发症 防治 |
Prevention and treatment of serious complications for pancreatoduodenectomy |
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| Institution: | SHEN Xiong-shan, LI Wei-min, FAN Li, et al. ( Department of General Surgery, Xiaogan Hospital, Affiliated to Tong]i Medical College, Huazhong University of Science and Technology, Hubei 432000, China) |
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| Abstract: | Objective To investigate prevention and treatment of severe complications for pancre- aticoduodenectomy （PD）. Methods The clinical data of 65 patients who underwent PD from January 2004 to December 2009 were restrospectively reviewed. Results After the operation, 16 patients had postopera- tive complications for 28 times and the complication rate was 24.6%. Two patients died after operation and the mortality rate was 3%. Conclusion Proper surgical procedures can prevent postoperative pancreatic leakage and hemorrhage. Once the pancreatic leakage and hemorrhage occur, appropriate measures can re- duce the postoperative mortality. |
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| Keywords: | pancreaticoduodenectomy complications prevenion and treatment |
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