%0 Journal Article
%T 胰十二指肠切除术后并发症的多学科诊疗<br>Multidisciplinary Diagnosis and Treatment of Complications after Pancreaticoduodenectomy
%A 杜飞
%A 郑希彦
%A 王少平
%A 庄鹏
%A 王晓玲
%A 李浩
%A 古东冬
%A 周红
%A 史宪杰
%J Asian Case Reports in Surgery
%P 57-64
%@ 2169-2548
%D 2021
%I Hans Publishing
%R 10.12677/ACRS.2021.104009
%X 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。<br />
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.
%K 胰十二指肠切除术，并发症，多学科诊疗<br>Pancreaticoduodenectomy
%K Complication
%K Multidisciplinary Diagnosis and Treatment
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=46667