中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
11期
49-50
,共2页
经胃十二指肠造瘘减压%十二指肠手术%应用价值
經胃十二指腸造瘺減壓%十二指腸手術%應用價值
경위십이지장조루감압%십이지장수술%응용개치
Duodenal fistula decompression via stomach%Duodenal operation%Value of application
目的：对在十二指肠手术中应用经胃十二指肠造瘘减压的价值进行探讨和分析。方法：收治行十二指肠手术治疗患者25例，全部患者均接受经胃十二指肠造瘘减压，对应用效果进行观察和分析。结果：24例患者治疗有效，其中3例患者病情好转，21例患者治愈，治疗总有效率96%，1例患者治疗无效。1例十二指肠合并胰腺损伤患者治疗无效，最终不治身亡，主要原因为术后出现严重出血并引发多脏器功能衰竭。其余患者经CT、B超、钡餐复查结果显示患者恢复理想，没有出现严重的远期并发症。结论：在十二指肠手术中应用经胃十二指肠造瘘减压能够使术后并发症的发生率得到有效控制，同时还能使手术操作获得简化，具有较高的临床应用价值。
目的：對在十二指腸手術中應用經胃十二指腸造瘺減壓的價值進行探討和分析。方法：收治行十二指腸手術治療患者25例，全部患者均接受經胃十二指腸造瘺減壓，對應用效果進行觀察和分析。結果：24例患者治療有效，其中3例患者病情好轉，21例患者治愈，治療總有效率96%，1例患者治療無效。1例十二指腸閤併胰腺損傷患者治療無效，最終不治身亡，主要原因為術後齣現嚴重齣血併引髮多髒器功能衰竭。其餘患者經CT、B超、鋇餐複查結果顯示患者恢複理想，沒有齣現嚴重的遠期併髮癥。結論：在十二指腸手術中應用經胃十二指腸造瘺減壓能夠使術後併髮癥的髮生率得到有效控製，同時還能使手術操作穫得簡化，具有較高的臨床應用價值。
목적：대재십이지장수술중응용경위십이지장조루감압적개치진행탐토화분석。방법：수치행십이지장수술치료환자25례，전부환자균접수경위십이지장조루감압，대응용효과진행관찰화분석。결과：24례환자치료유효，기중3례환자병정호전，21례환자치유，치료총유효솔96%，1례환자치료무효。1례십이지장합병이선손상환자치료무효，최종불치신망，주요원인위술후출현엄중출혈병인발다장기공능쇠갈。기여환자경CT、B초、패찬복사결과현시환자회복이상，몰유출현엄중적원기병발증。결론：재십이지장수술중응용경위십이지장조루감압능구사술후병발증적발생솔득도유효공제，동시환능사수술조작획득간화，구유교고적림상응용개치。
Objective:To explore the value of duodenal fistula decompression via stomach in duodenal operation.Methods:25 patients with duodenal operation were selected,all patients were treated with duodenal fistula decompression via stomach.The treatment effects were observed and analyzed.Methods:Treatment of 24 patients were effective;among them,3 patients were improved,21 patients were cured,the total effective rate was 96%.Treatment of 1 patient was invalid.Treatment of 1 patient with duodenal injury complicated with pancreatic injury was invalid,the patient eventually died.The main reason was the serious hemorrhage and multiple organ failure after operation.The remaining patients were reviewed by the CT,B ultrasound and barium meal,the results showed that patients were recovered without serious complications.Conclusion:The application of duodenal fistula decompression via stomach in duodenal operation can effectively control the incidence of postoperative complications,make the operation simple,and it has high value in clinical application.
