摘要
目的探讨胰十二指肠切除术（pancreaticoduodenectomy，po）后出血的原因与处理办法。方法总结分析我院2000年至2012年收治的26例PD术后出血病例的临床资料。结果26例PD术后出血病例中，早期出血8例，迟发性出血18例；胰腺断端出血14例，腹腔出血12例；轻度8例，重度18例；18例经再次手术治疗；12例经介入止血治疗，14例内镜止血治疗；1例死亡，1例家属放弃治疗，24例治愈。结论及时果断的再手术是处理PD术后并发出血的一个重要手段。精细熟练的操作、严密吻合、彻底止血、有效预防胰瘘及腹腔感染等并发症的发生是减少术后出血的关键。
l Objective To explore the cause, prevention and treatment of postpancreatieo- duodenectomy haemorrhage. Method The clinical data of 26 cases of postpancreaticoduodenectomy haemorrhage was retrospectively analyzed from 2000 to 2012. Results Early haemorrhage was recorded in 8 patients, and late haemorrhage in 18 patients, including 14 intraluminal and 12 extraluminal PPH. 8 patients were mild, 18 severe PPH. 18 patients underwent reoperation, 12 patients underwent transcatheter arterial embolization（ TAE ）, and 14 patients underwent the treatment by endoscope. The overall mortality was 3.8%（1/26） and one patient gave up. Conclusions Timely and decisive reoperation is an important method to management of PPH. The key points to reduce PPH are meticulous operative technique, complete hemostasis, prevention of pancreatic fistula and intra-abdominal infection.
出处
《国际医药卫生导报》
2012年第24期3565-3567,共3页
International Medicine and Health Guidance News
关键词
胰十二指肠切除术
手术后出血
治疗
Pancreaticoduodenectomy
Postoperative haemorrahge
Therapeutics
