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首页> 外文期刊>Journal of International Medical Research >Management of late hemorrhage after pancreatic surgery: treatment strategy and prognosis
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Management of late hemorrhage after pancreatic surgery: treatment strategy and prognosis

机译:胰腺外科晚期出血的管理:治疗策略和预后

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Objective Postpancreatectomy hemorrhage is a life-threatening complication. Hemorrhage occurring &24 hours after the index operation is defined as late hemorrhage. This study was performed to analyze the therapeutic management and prognostic factors of late hemorrhage after pancreatectomy. Methods We identified 87 patients with late hemorrhage among 2031 patients who underwent pancreatic surgery from January 2013 to December 2017. The patients’ demographic characteristics, perioperative treatment, hemorrhage details, and prognosis were retrospectively analyzed. Results Of the 87 patients, 53 were men. Bleeding occurred at a mean of 8.9?±?6.0 days postoperatively. Extraluminal and intraluminal hemorrhage occurred in 58 and 29 patients, respectively. The primary intervention was successful in 66 patients, and 16 patients required a secondary intervention. The primary and total recovery rates were 72.4% and 89.7%, respectively. Of the 87 patients, 9 died. Male sex, hemorrhage on a later postoperative day, a significantly decreased hemoglobin level, and pancreatic fistula showed statistical significance as possible risk factors for mortality. Conclusions Male sex, hemorrhage on a later postoperative day, a significantly decreased hemoglobin level, and pancreatic fistula are possible risk factors for mortality in patients with late hemorrhage after pancreatectomy. Hemorrhage is a dynamic process, and a secondary intervention may be necessary.
机译:目标PosterpancreateCentomy出血是一种危及生命的并发症。出现出血&指数操作后24小时定义为晚疫。进行该研究,分析胰腺切除后晚疫出血的治疗管理和预后因素。方法确定从2013年1月到2017年1月接受胰腺手术的2031名患者晚期出血患者。回顾性分析了患者人口统计学特性,围手术期,出血细节和预后。 87例患者的结果,53名是男性。出血发生在8.9?±6.0天的平均值。分别在58和29名患者中出现外形和腔内出血。初级干预在66名患者中取得了成功,16名患者需要次要干预。主要和总回收率分别为72.4%和89.7%。在87名患者中,9例死亡。男性性别,出血在术后术后日,血红蛋白水平显着降低,胰瘘显示出统计学意义,危险因素因死亡率可能。结论男性性交,出血在术后晚期,显着降低的血红蛋白水平,胰腺瘘的危险因素是胰腺切除后晚期出血患者的危险因素。出血是一种动态过程,可能需要进行二级干预。

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