胰腺切除术是在胰腺炎症、外伤、肿瘤初期、胃、胆道癌症根治术时所实施的手术,胰头十二指肠切除术为其代表术式。因手术切除了消化吸收的中间脏器,为再建消化道需实行胰空肠吻合。而活化的胰液具有很强的消化作用,且胰的内、外分泌机能与周围各脏器密切相关,因手术影响,术后可出现具有消化作用的胰波外漏及消化吸收机能低下等问题。本文将术后管理分为呼吸循环管理、各种引流管管理及营养管理三部分论述如下。一、呼吸循环管强胰头十二指肠切除术的手术时间长,麻醉清醒也需要一定的时间,而且清醒后因疼痛,不能深呼吸及咳嗽,很容易发生换气量低下及咯痰困难。对存在呼 Pancreatic resection is an operation performed during pancreatic inflammation, trauma, initial tumor, gastro-intestinal, and biliary cancer. The pancreatic head and duodenal resection represents a surgical procedure. Due to the surgical removal of the intermediate organs that have been digested and absorbed, a pancreaticojejunostomy is required for the reconstruction of the digestive tract. The activated pancreatic juice has a strong digestive effect, and the internal and external exocrine function of the pancreas is closely related to the surrounding organs. Due to surgery, postoperative pancreatic leakage with digestive function and low digestion and absorption function may occur. This article will be divided into three parts of postoperative management: respiratory cycle management, various drainage management and nutrition management. I. Respiratory Circulatory Intensive pancreaticoduodenectomy requires a long time for anaesthesia. It requires a certain amount of time for anaesthesia to be awake. Because of pain, it cannot take deep breaths and cough after waking up. It is prone to low ventilation and difficulty in expectoration. Call for existence