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    find Keyword "腹腔引流管" 2 results
    • Indications about removing abdominal drainage after pancreaticoduodenectomy

      Objective To investigate the appropriate indication about removing abdominal drainage after pancreaticoduodenectomy. Method The clinical data of 156 patients who underwent pancreaticoduodenectomy in our hospital from January 2014 to June 2016 were analyzed retrospectively. The patients were divided into two groups, with 76 patients in the enhanced recovery after surgery (ERAS) group and 80 patients in the control group according to the type of indications about removing abdominal drainage. The time of removing abdominal drainage, hospital stay, incidence of postoperative complications, and readmission rate during 30 days after surgery were compared between the2 groups. Results Compared with the control group, the time of removing abdominal drainage 〔(6.2±2.5) dvs. (10.8±2.2) d,P<0.001〕and hospital stay〔(11.8±3.4) dvs. (15.7±3.6) d,P<0.001〕 of the ERAS group were both shorter, incidence of abdominal infection was lower〔1.3% (1/76)vs. 10.0% (8/80), P=0.020〕 , but there was no significant difference in the incidence of postoperative pancreatic fistula 〔18.4% (14/76) vs. 21.3% (17/80)〕 , delayed gastric emptying〔1.4% (1/76) vs. 7.5% (6/80)〕 , and the readmission rate during 30 days after surgery〔5.3% (4/76) vs. 3.8% (3/80)〕 , P>0.05. Conclusions Indications about removing abdominal drainage after pancreaticoduodenectomy by authors are safe.

      Release date:2017-10-17 01:39 Export PDF Favorites Scan
    • 腹腔引流管拔除困難的原因分析及處理方法(附22例報道)

      目的探討腹腔引流管拔除困難的原因及臨床處理方法。 方法回顧性分析筆者所在醫院2003年7月至2015年5月期間22例腹部手術后腹腔引流管拔除困難患者的臨床資料,總結分析其原因及處理方法。結果本組患者中引流管拔除時間為術后4~7 d者6例,7~10 d者16例。引流管拔除困難的原因1例為固定引流管的縫線從引流管穿過,4例為腹壁戳孔偏小,2例為引流管扭曲,9例為組織嵌入引流管內口或引流管側孔(其中5例為纖維條索,4例為大網膜),6例無法確定原因。5例通過持續均勻用力牽引拔除,1例拆除縫合固定線拔除,8例通過旋轉、來回牽拉或推送引流管拔除,8例應用持續重力牽引法拔除,無并發副損傷。 結論靈活應用各種方法來處理難以拔除的引流管,持續重力牽引法適宜于常規方法不能拔除的引流管。減少不必要的引流管放置,放置引流管時注意其細節和及時拔除引流管可避免引流管的拔除困難。

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