CAJ | 학술논문

胰十二指肠切除术并发症多,尤以胰漏最为常见.早期预测胰漏发生并采取相关治疗措施对降低胰漏发生率及相关并发症具有重大意义.本文总结了10年来国际核心期刊对胰漏预测指标的研究,分析探讨了血淀粉酶、引流液淀粉酶、C反应蛋白、WBC及白蛋白的联合检测、血清尿素氮及白蛋白、引流液淀粉酶水平与引流量的比值对胰漏发生的预测意义.
이십이지장절제술병발증다,우이이루최위상견.조기예측이루발생병채취상관치료조시대강저이루발생솔급상관병발증구유중대의의.본문총결료10년래국제핵심기간대이루예측지표적연구,분석탐토료혈정분매、인류액정분매、C반응단백、WBC급백단백적연합검측、혈청뇨소담급백단백、인류액정분매수평여인류량적비치대이루발생적예측의의.
Pancreatic leakage is most common among numerous complications after pancreaticoduodenectomy surgery.Predicting at early stage and taking preventive measures in time are of great importance to reducing the incidence of pancreatic leakage as well as its related complications.The article reviewed pancreatic leakage monitoring related reports worldwide in recent 10 years.It was found that some factors were useful for the prediction of pancreatic leakage including the drainage fluid amylase and leukocyte count on postoperative day 1 and 3,C-reactive protein on postoperative day 3,the combined detection of white blood cells and albumin on postoperative day 4,the serum urea nitrogen and the serum albumin on postoperative day 1 and 5-8 days,as well as the ratio of amylase level in abdominal drainage to abdominal drainage volume.