胰十二指肠切除术后并发症的多学科诊疗  

Multidisciplinary Diagnosis and Treatment of Complications after Pancreaticoduodenectomy

作　　者：杜飞[1] 郑希彦 王少平 庄鹏[2] 王晓玲[3] 李浩[4] 古东冬 周红[1] 史宪杰 

机构地区：[1]中山大学附属第八医院肝胆胰外科,广东 深圳 [2]中山大学附属第八医院感染科,广东 深圳 [3]中山大学附属第八医院营养科,广东 深圳 [4]中山大学附属第八医院重症医学科,广东 深圳 [5]中山大学附属第八医院伤口造口门诊,广东 深圳

出　　处：《亚洲外科手术病例研究》2021年第4期57-64,共8页Asian Case Reports in Surgery

摘　　要：目的:探讨胰十二指肠切除术后并发症的多学科治疗。方法:回顾性分析中山大学附属第八医院2021年3月收治的胰十二指肠术后患者的临床资料,该患者术后出现胰漏、乳糜漏、切口裂开感染、多重耐药感染合并感染性休克。结果:该患者外院行胰十二指肠切除术,我院经积极抗感染、切口负压引流、肠内外营养支持,辅以抑酶、补充人血白蛋白、纠正水电解质及酸碱失衡,最终好转出院。结论:胰十二指肠切除术后并发症处理棘手,需要多学科协作治疗。Objective: To explore the multidisciplinary treatment for complications after pancreaticoduodenectomy. Methods: The clinical data of the patient after pancreaticoduodenectomy treated in the Eighth Affiliated Hospital of Sun Yat-sen University in March 2021 was analyzed retrospectively. The patient presented pancreatic leakage, chylous leakage, incisional dehiscence and infection, multi-drug resistance and infection combined with infectious shock after surgery. Results: The patient underwent pancreaticoduodenectomy in another hospital. After active anti-infective therapy, incisional negative pressure drainage and enteral and parenteral nutritional support, assisted by enzyme inhibition, supplementing human albumin, and correction of water-electrolyte and acid-base imbalance in our hospital, the patient was finally cured and discharged. Conclusion: The treatment of complications after pancreaticoduodenectomy is difficult and needs multidisciplinary cooperation.

关 键 词：胰十二指肠切除术 并发症 多学科诊疗 

分 类 号：R47[医药卫生—护理学]