CAJ | 학술논문

目的研究胰十二指肠切除术后肺部并发症的类型和防治对策.方法回顾性分析我院165例胰十二指肠切除术患者的临床资料,观察肺部并发症的发生情况及其治疗效果.结果肺部并发症的发生率为19.4％(32/165),病死率为6.25％(2/32),分别死于肺部感染、呼吸衰竭和急性呼吸窘迫综合征(ARDS).并发症主要包括:肺部感染13.9％(23/165),胸腔积液4.2％(7/165),肺不张3.6％(6/165),气胸1.8％(3/165),呼吸衰竭2.4％(4/165)和ARDS 1.2％ (2/165).结论胰十二指肠切除术肺部并发症并不少见,其中尤以肺部感染最为常见,大多为医院获得性肺炎.了解手术后呼吸系统病理生理学改变的规律和特殊性,对于患者安全渡过围手术期至关重要.
목적 연구이십이지장절제술후폐부병발증적류형화방치대책.방법 회고성분석아원165례이십이지장절제술환자적림상자료,관찰폐부병발증적발생정황급기치료효과.결과 폐부병발증적발생솔위19.4％(32/165),병사솔위6.25％(2/32),분별사우폐부감염、호흡쇠갈화급성호흡군박종합정(ARDS).병발증주요포괄:폐부감염13.9％(23/165),흉강적액4.2％(7/165),폐불장3.6％(6/165),기흉1.8％(3/165),호흡쇠갈2.4％(4/165)화ARDS 1.2％ (2/165).결론 이십이지장절제술폐부병발증병불소견,기중우이폐부감염최위상견,대다위의원획득성폐염.료해수술후호흡계통병리생이학개변적규률화특수성,대우환자안전도과위수술기지관중요.
Objective To identify the types of pulmonary complications after pancreaticoduodenectomy,and to discuss the prevention and management of these complications.Methods Clinical data of 165 cases of pancreaticoduodenectomy in our hospital were retrospectively analyzed.Pulmonary complications were identified,therapeutic effects were observed.Results The incidence rate of pulmonary complications was 19.4％ ( 32/165),case-fatality rate was 6.25％ (2/32),two patients died from pneumonia,respiratory failure and ARDS.Complications mainly included pneumonia 13.9％ (23/165),pleural effusion 4.2％ (7/165),atelectasis 3.6％ (6/165),pneumothorax 1.8％ ( 3/165 ),respiratory failure 2.4％ (4/165) and ARDS 1.2％ (2/165).Conclusion Pulmonary complications after pancreaticoduodenectomy are not rare,especially for pulmonary infection and most are hospital acquired pneumonia.To understand rules and particularity of respiratory physiopathological changes after pancreaticoduodenectomy is very important for patients to safely pass over the perioperative period.