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[腹部手术后脓肿及积液的经皮引流治疗]

[Percutaneous drainage treatment of abscess and fluid retention following abdominal surgery].

作者信息

Berger H, Pratschke E, Grab J, Winter T

机构信息

Radiologische Klinik, Klinikum Grosshadern der Ludwig-Maximilians-Universität München.

出版信息

Chirurg. 1989 Dec;60(12):873-7.

PMID:2620549
Abstract

61 patients with abdominal abscesses and fluid collections as a postoperative complication underwent percutaneous drainage. 60 abscesses, 11 haematomas, 3 steril seromas and 3 bile collections were drained. The fluid collections were associated with biliary or enteric fistulae in 16 cases. The percutaneous drainage was successful in 69%, additional surgery was required in 15%. The overall mortality rate was 13%. Reasons for drainage failure were infected clots, phlegmonic abscesses and pancreas involvement of the abscesses.

摘要

61例术后并发腹部脓肿和积液的患者接受了经皮引流。共引流了60个脓肿、11个血肿、3个无菌性血清肿和3个胆汁聚积。16例积液与胆瘘或肠瘘有关。经皮引流成功率为69%,15%的患者需要额外手术。总死亡率为13%。引流失败的原因是感染性血凝块、蜂窝织炎性脓肿以及脓肿累及胰腺。

引用本文的文献

1
Current concepts of percutaneous abscess drainage in postoperative retention.
J Gastrointest Surg. 2005 Feb;9(2):280-3. doi: 10.1016/j.gassur.2004.04.008.

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