十二指肠残端瘘的非手术治疗  

Non-surgical treatment of duodenal stump fistula

作　　者：于安星[1] 刘栋栋 YU Anxing;LIU Dongdong(Department of General Surgery of Pingdu People's Hospital Affiliated to Weifang Medical College,Qingdao 266700,Shandong)

机构地区：[1]潍坊医学院附属平度市人民医院普外科,山东青岛266700

出　　处：《临床普外科电子杂志》2021年第3期24-27,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探讨十二指肠残端瘘的非手术治疗方法及效果。方法回顾性分析潍坊医学院附属平度市人民医院2006年1月至2019年12月收治的21例十二指肠残端瘘患者的临床资料,包括治疗过程及结果。结果21例患者均采用保持腹腔引流通畅,及时行十二指肠腔内减压,抗感染、加强营养为主的非手术疗法,20例痊愈,1例因合并腹腔、尿路及肺部多发感染,死于多器官功能衰竭。结论非手术疗法对十二指肠残端瘘有效,且腹腔引流通畅是治疗的关键。Objective To explore the non-surgical treatment of duodenal stump fistula and its effect.Methods A retrospective analysis about clinical data was made on 21 cases of patients with duodenal stump fistula from January 2006 to December 2019 in Pingdu People's Hospital Affiliated to Weifang Medical College.Results 21 cases were treated with non-surgical treatment,20 cases were cured,1 case died of multiple organ failure due to multiple abdominal,urinary and pulmonary infections.Conclusion It is effective for duodenal stump fistula to keep the abdominal cavity drainage unobstructed,timely decompression of duodenal cavity,anti infection and strengthening nutrition in this study.

关 键 词：十二指肠残端 瘘 非手术 治疗 

分 类 号：R47[医药卫生—护理学]