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胰十二指肠切除术后并发症的多学科诊疗
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Abstract:
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.
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