胰十二指肠切除术后腹腔感染发生的影响因素
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Influencing factors of intraabdominal infectious complications after pancreatoduodenectomy
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    摘要:

    目的探讨胰十二指肠切除术(PD)术后腹部并发症发生率及其有关因素。方法对近7年来196例施行PD患者腹部并发症发生的有关因素进行回顾性分析。结果腹腔感染的发生率明显高于其他并发症。胰腺残端硬度接近正常或中等者,或有肺部感染者,其腹腔感染率明显高于胰腺质地较硬者及无肺部感染者(均为P<0.01)。结论腹腔感染与胰腺残端质地、有无肺部感染有明显关系。应重视术中残胰质地的判断,积极防治肺部并发症,以尽量避免腹腔感染的发生。

    Abstract:

    Objective:To investegate the influencing factors of intraabdominal infectious complications after pancreatoduodenectomy(PD). Methods: The postoperative intraabdominal infectious complications occurrence rate and the influencing factors after PD in 196 patients in recent 7 years were retrospectively analyzed.Results:After PD,the rate of postoperative intraabdominal infections was significantly higher than the rate of other complications. The rate of intraabdominal infections in patients with near normal pancreatic remnent and with pulmonary infections were significantly higher than those in with harder pancreatic remnant and without pulmonary infections(P<0.01). Conclusions:The pancreatic remnant texture and pulmonary infections are the significant influencing factors of intraabdominal infections after PD.So attention should be paid to consider the condition of pancreatic parenchyma,and prevent and cure pulmonary infections to avoid the occurrence of intraabdominal infections as possible.

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张波,曾庆东,李胜,李占元,石学涛,衣龙海.胰十二指肠切除术后腹腔感染发生的影响因素[J].中国普通外科杂志,2004,13(2):16-129.
DOI:10.7659/j. issn.1005-6947.2004.02.016

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  • 在线发布日期: 2004-02-25