| 胰十二指肠切除术后迟发性动脉出血的诊治分析 |
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| 引用本文： | 吕品,吴金术,蒋波,王俊,陈梅福,田秉璋.胰十二指肠切除术后迟发性动脉出血的诊治分析[J].中国现代手术学杂志,2013,17(2):94-97. |
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| 作者姓名： | 吕品 吴金术 蒋波 王俊 陈梅福 田秉璋 |
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| 作者单位： | 湖南省人民医院肝胆外科,长沙,410005 |
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| 基金项目： | 湖南省卫生厅资助项目(项目编号：B2012-079) |
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| 摘 要： | 目的探讨胰十二指肠切除术后迟发性动脉出血的诊断和治疗方法。方法回顾性分析我院2004年1月至2012年9月诊治的5例胰十二指肠切除术后迟发性动脉出血患者的资料。结果有3例患者合并高血压病、冠心病,4例患者术后有胰漏、腹腔脓肿等并发症,所有患者均经动脉造影确诊并经栓塞止血治愈。结论高血压病、冠状动脉粥样硬化、术后并发胰漏、腹腔脓肿是发生胰十二指肠切除术后迟发性动脉出血的危险因素,经动脉血管造影和栓塞对诊断和治疗有极大的帮助。
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| 关 键 词： | 手术后出血 胰十二指肠切除术 |
Delayed Arteriorrhagia after Pancreaticoduodenectomy |
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| LV Pin
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WU Jin-shu
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JIANG Bo
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WANG Jun
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CHEN Mei-fu
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TIAN Bing-zhang.Delayed Arteriorrhagia after Pancreaticoduodenectomy[J].Chinese Journal of Modern Operative Surgery,2013,17(2):94-97. |
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| Authors: | LV Pin WU Jin-shu JIANG Bo WANG Jun CHEN Mei-fu TIAN Bing-zhang |
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| Affiliation: | ( Hepatobiliary Surgery Department, People Hospital of Hunan, ChangSha 410005, Hunan, China) |
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| Abstract: | Objective To investigate the diagnosis and treatment of delayed arteriorrhagia after pancreat- icoduodenectomy. Method The data of 5 DAP patients were analyzed retrospectively. Result There were 3 patients accompanied with blood hypertension or coronary atherosclerosis. After operation, there were 4 pa- tients suffered from pancreatic leakage and abdominal abscess. All patients were diagnosed and cured by tran- scatheter arterial angiography and embolization. Conclusion Blood hypertension, coronary atherosclerosis, pancreatic leakage and abdominal abscess are the risk factors for delayed arteriorrhagia after pancreaticoduode- neetomy. It plays an important role of the transcatheter arterial angiography and embolization in diagnosis and treatment for the delayed arteriorrhagia after panereatieoduodeneetomy. |
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| Keywords: | postoperative hemorrhage pancreaticoduodenectomy |
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