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Research on the risk factors and management of delayed hemorrhage after pancreatoduodenectomy / 临床外科杂志
Journal of Clinical Surgery ; (12): 749-751, 2017.
Artigo em Chinês | WPRIM | ID: wpr-666893
ABSTRACT
Objective To investigate the risk factors and management of delayed hemorrhage after pancreatoduodenectomy.Methods A retrospective analysis of delayed hemorrhage after the pancreatoduodenectomy in 136 patients was performed.Results In 136 patients,delayed hemorrhage occurred in 19 cases,and the incidence rate was 14.0% (19/136).10 cases was severe hemorrhage,and sentinel bleeding occurred in 6 cases,also 5 died due to the intra-abdominal infection and MODS.Conclusion Delayed hemorrhage after the pancreatoduodenectomy is closely related to pseudoaneurysm,bleeding due to arteriorrhexis,bleeding of the pancreas' stump.Meanwhile abdominal infection and MODS may be the main reason of the patients' death.Pre-operative preparation,best operation skills and proper post-operation management are the key points to the prevention and treatment of delayed hemorrhage.

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Tipo de estudo: Estudo de etiologia / Fatores de risco Idioma: Chinês Revista: Journal of Clinical Surgery Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Tipo de estudo: Estudo de etiologia / Fatores de risco Idioma: Chinês Revista: Journal of Clinical Surgery Ano de publicação: 2017 Tipo de documento: Artigo