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目的:探索胰十二指肠切除术的临床特点及术后并发症的预防措施。方法:对我院2009年6月至2011年6实施胰十二指肠切除术的12例患者的临床诊疗资料进行回顾性分析。结果:4例出现并发症,发生率为33.3%,包括上消化道出血2例和胰瘘2例;发生胰瘘的2例患者同时合并有严重的腹腔感染、腹腔内出血以及全身多系统功能衰竭等,均经救治无效而死亡,死亡人数占本组患者总人数的16.7%。。结论:胰十二指肠切除术后并发症的发生多数与术中操作不规范及术后处理不正确相关,因此,进行细致、规范的术中操作,并实施合理、及时的术后对症处理,对于降低术后并发症发生率及死亡率具有重要意义。
Objective: To explore the clinical features of pancreatoduodenectomy and preventive measures for postoperative complications. Methods: The clinical data of 12 patients undergoing pancreatoduodenectomy from June 2009 to 2011 in our hospital were retrospectively analyzed. Results: Complications occurred in 4 patients (33.3%), including 2 cases of upper gastrointestinal hemorrhage and 2 cases of pancreatic fistula; 2 cases of pancreatic fistula complicated with severe intra-abdominal infection, intra-abdominal bleeding, and systemic multiple system failure All of them died after treatment was invalid and the deaths accounted for 16.7% of the total number of patients in this group. . Conclusion: Most of the complications after pancreatoduodenectomy are related to the non-standard intraoperative operation and incorrect postoperative treatment. Therefore, detailed and standardized intraoperative operations are performed, and reasonable and timely postoperative symptomatic treatment is implemented. It is of great significance for reducing the incidence of postoperative complications and mortality.