胰十二指肠切除术后出血因素分析  

Analysis of hemorrhagic factors after pancreaticoduodenectomy

作　　者：胡文豪 路旭 王洪东[1] 沈超楹 柳勤龙[1] HU Wen-hao;LU Xu;WANG Hong-dong;SHEN Chao-ying;LIU Qin-long(Second Department of Hepatopancreatobiliary Surgery,Second Affiliated Hospital of Dalian Medical University,Dalian Liaoning 116027,China)

机构地区：[1]大连医科大学附属第二医院肝胆胰外二科

出　　处：《局解手术学杂志》2019年第10期842-846,共5页Journal of Regional Anatomy and Operative Surgery

基　　金：国家科学自然基金(81770617)

摘　　要：胰十二指肠切除术(PD)是一种复杂、高度专业化外科手术的典型,尽管在高容量中心PD的病死率已降低到5%以下,但术后并发症发生率高,其中术后出血是其致命的并发症之一。早期的出血大多数与技术性因素有关,晚期的出血多与胰瘘、胆瘘、腹腔感染、假性动脉瘤、应激性溃疡等有关。充分的术前准备,术中精细操作,止血彻底,更好地预测和管理术后并发症,对提高临床疗效具有重要意义。Pancreaticoduodenectomy ( PD) is a typical complex and highly specialized surgical procedure. Although the mortality rate of PD in high volume center is reduced to less than 5%,the incidence of complications is high. Postoperative bleeding is one of the fatal complications. Early hemorrhage is mostly related to technical factors. Late hemorrhage is mostly related to other abdominal complications such as pancreatic fistula,biliary fistula,abdominal infection,pseudoaneurysm,stress ulcer and so on. Full preoperative preparation,experienced operative skills,complete hemostasis,better prediction and management of postoperative complications are of great significance to improve clinical efficacy.

关 键 词：胰十二指肠切除术 早期出血 晚期出血 哨兵出血 胰瘘 胆瘘 假性动脉瘤 应激性溃疡 

分 类 号：R656.6[医药卫生—外科学]