摘要
腹腔出血是胰十二指肠切除术(PD)后严重的并发症之一,因起病急、变化快、后果严重,成为备受关注的临床焦点问题。明确PD后腹腔出血时间、程度、原因以及部位有助于临床医生选择合适的干预时机和治疗方式。早期出血且程度较轻的病人可保守治疗,若出血严重、血流动力学紊乱则须果断手术干预;PD后晚期出血后果严重,应尽早行血管介入或手术治疗。同时,应注意术前改善凝血功能、术中仔细操作、术后积极预防胰瘘等并发症以减少PD后腹腔出血的发生。
Intra-abdominal hemorrhage is one of the most se- rious postoperative complications after pancreaticoduodnecto- my（PD）. Due to urgent onset, quick change and severe conse- quences, it becomes a focus of clinical attention. Clarifying the time of onset, severity, cause and location of intra-abdomiual hemorrhage of postoperative PD can help clinicians to choose accurate intervention time and therapy method. Early and mild hemorrhage can be treated conservatively, but reoperation is necessary if it＇ s severe. The outcome of late hemorrhage is se- rious, interventional treatment or reoperation should be taken as soon as possible. Meanwhile, clinicians should improve pre- operative blood coagulation function, operate carefully and pre- vent postoperative complications actively, such as pancreatic fistula, to avoid intra-abdominal hemorrhage.
出处
《中国实用外科杂志》
CSCD
北大核心
2016年第8期851-854,共4页
Chinese Journal of Practical Surgery
关键词
胰十二指肠切除术
腹腔出血
pancreaticoduodnectomy
intra-abdominal hemorrhage
