重症急性胰腺炎术后并发症的预防及处理

重症急性胰腺炎术后并发症的预防及处理

邹宇;孙备

【期刊名称】《国际外科学杂志》

【年(卷),期】2016(043)004

【摘要】Severe acute pancreatitis presents high rate of postoperative complications and results in higher mortality.The main postoperative complications include bleeding,digestive tract fistula,residual infection in the abdominal cavity and retroperitoneum.Along with further deep understanding of the disease and the great changesof treatment,we have new insight for preventing and dealing with the postoperative complications.The damage control surgery combined with minimally invasive surgery concept and individual therapic mode make great effect for the management of postoperative complications.In this review,we focus on the therapies for postoperative complications of severe acute pancreatitis.%重症急性胰腺炎术后并发症发病率高,且复杂多样,具有较高的病死率.其主要包括出血、消化道瘘、腹腔及腹膜后残余感染等.随着对重症急性胰腺炎认识的深入及治疗观念的改变,我们对其术后并发症的预防与处理有了更新的认识,遵循损伤控制原则,以微创为先导的治疗理念及个体化的治疗模式在处理术后并发症中扮演重要角色.本文将对其术后并发症的防治作一综述.

【总页数】4页(282-285)

【关键词】术后并发症;出血;感染;消化道瘘;重症急性胰腺炎