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find Keyword "腹腔引流管" 2 results
  • 腹腔引流管拔除困难的原因分析及处理方法(附22例报道)

    目的探讨腹腔引流管拔除困难的原因及临床处理方法。 方法回顾性分析笔者所在医院2003年7月至2015年5月期间22例腹部手术后腹腔引流管拔除困难患者的临床资料,总结分析其原因及处理方法。结果本组患者中引流管拔除时间为术后4~7 d者6例,7~10 d者16例。引流管拔除困难的原因1例为固定引流管的缝线从引流管穿过,4例为腹壁戳孔偏小,2例为引流管扭曲,9例为组织嵌入引流管内口或引流管侧孔(其中5例为纤维条索,4例为大网膜),6例无法确定原因。5例通过持续均匀用力牵引拔除,1例拆除缝合固定线拔除,8例通过旋转、来回牵拉或推送引流管拔除,8例应用持续重力牵引法拔除,无并发副损伤。 结论灵活应用各种方法来处理难以拔除的引流管,持续重力牵引法适宜于常规方法不能拔除的引流管。减少不必要的引流管放置,放置引流管时注意其细节和及时拔除引流管可避免引流管的拔除困难。

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  • 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
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