摘要
目的探讨影响胰十二指肠切除术后早期并发症的相关因素,观察实施干预措施后的临床效果。方法随机选取2011年1月至2013年1月185例胰十二指肠切除术患者为研究对象,对其中出现了早期并发症的患者的影响因素进行分析。结果胰十二指肠切除术后早期并发症以上消化道出血为主,相关危险因素有高龄(大于65岁)、高血清胆红素(大于171μmol/L)、低清蛋白(小于或等于35g/L)、血糖高、恶性肿瘤、无肠内营养、Child分级高(Ⅲ级)、手术时间长(大于6h)、无术前减轻梗阻性黄疸(P<0.05);其中糖尿病、Child分级、清蛋白水平、手术时间、胆红素水平是胰十二指肠切除术后发生早期并发症的高危险因素。结论糖尿病、Child分级、清蛋白水平、手术时间、胆红素水平是影响胰十二指肠切除术后早期并发症的危险因素,予以早期干预有助于避免临床并发症的发生。
Objective To study the related risk factor of early complications after pancreaticoduodenectomy, and observe the clinical effect of intervention measures after the operation. Methods 185 cases of pancreaticoduode- nectomy patients were randomly selected as the research object from January 2011 to January 2013, and the related factors of the early complications were analyzed. Results In the early complications after pancreaticoduodenectomy, upper gastrointestinal bleeding was the main type, and the related risk factors included advanced age （〉65 years old）, high serum bilirubin （〉171 μmol/L）, low serum albumin （≤35 g/L）, high blood sugar, malignant tumor, no enteral nutrition,high Child grade （Ⅲ level）,long operation time （〉6 h） and no preoperative biliary drainage （P〈0.05）,in which diabetes,Child classification,albumin level, operation time and bilirubin level were the high risk factors. Conclusion Diabetes,child classification,albumin level,operation time and bilirubin level could be the risk factors of early complications after pancreaticoduodenectomy,and early intervention on them could reduce clinical complications.
出处
《检验医学与临床》
CAS
2013年第21期2818-2819,2821,共3页
Laboratory Medicine and Clinic
关键词
胰十二指肠切除术
并发症
危险因素
干预措施
pancreaticoduodenectomy
complication
risk factor
intervention measure
