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
DOI: 10.12677/ACRS.2021.104009, PDF,   
作者: 杜 飞*, 郑希彦, 王少平, 周 红, 史宪杰#：中山大学附属第八医院肝胆胰外科，广东 深圳；庄 鹏：中山大学附属第八医院感染科，广东 深圳；王晓玲：中山大学附属第八医院营养科，广东 深圳；李 浩：中山大学附属第八医院重症医学科，广东 深圳；古东冬：中山大学附属第八医院伤口造口门诊，广东 深圳
关键词: 胰十二指肠切除术；并发症；多学科诊疗；Pancreaticoduodenectomy； Complication； Multidisciplinary Diagnosis and Treatment
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。
Abstract: 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.
文章引用：杜飞, 郑希彦, 王少平, 庄鹏, 王晓玲, 李浩, 古东冬, 周红, 史宪杰. 胰十二指肠切除术后并发症的多学科诊疗[J]. 亚洲外科手术病例研究, 2021, 10(4): 57-64. https://doi.org/10.12677/ACRS.2021.104009

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