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总结42例胰十二指肠切除术后的早期并发症及死亡原因,旨在探讨对并发症的防治措施,降低早期并发症的友生率及病死率。14例出现术后并发症。发生率为30%,死亡4例。总结分析术后并发症的发生原因:(1)主要与手术操作有关的并发症如胰瘘、胆瘘、上消化道出血及腹腔内出血;(2)与术前营养状况及伴发病有关的并发症如肺部感染、腹腔脓肿及伤口感染;(3)其它并发症有吻合口排空延迟及败血症。分析以上原因并提出相应的防治方法。
To summarize the early complications and causes of death after 42 cases of pancreatoduodenectomy, aiming to explore the prevention and treatment of complications, reduce the rate of co-optacy and mortality of early complications. Postoperative complications occurred in 14 cases. The incidence was 30% and 4 deaths. Summarize the causes of postoperative complications: (1) Complications related to surgical operations such as pancreatic fistula, bile fistula, upper gastrointestinal bleeding, and intra-abdominal hemorrhage; (2) Concurrency associated with preoperative nutritional status and associated morbidity Symptoms such as pulmonary infection, abdominal abscess and wound infection; (3) other complications of delayed anastomosis and sepsis. Analyze the above reasons and propose corresponding prevention methods.