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[急性出血性胰腺炎——扩大的腹腔引流与肾周引流的联系]

[Acute hemorrhagic pancreatitis--extended abdominal drainage and perirenal drainage links].

作者信息

Hoffmann R, Berthold S

出版信息

Helv Chir Acta. 1979 Dec;46(4):593-7.

PMID:549894
Abstract

Acute haemorrhagic pancreatitis, when mainly situated in the body and tail of the pancreas, may be associated with abscess formation in the left perirenal region through the radix mesosoli transversi. Next to the extensive drainage of the abdomen and pancreas, we advise supplementary primary left perirenal-retroperitoneal drainage, considering how difficult it can be to loalize a secondary postoperative pancreatic abscess, especially when a computer-assisted tomography (CAT) is unavailable. In those cases in which the transverse colon had suffered circulatory damage from the acute pancreatitis, good results have been obtained with temporary coecostomy.

摘要

急性出血性胰腺炎若主要位于胰体和胰尾,可能通过横结肠系膜根部在左肾周区域形成脓肿。考虑到术后继发性胰腺脓肿定位可能很困难,尤其是在没有计算机断层扫描(CAT)的情况下,除了广泛引流腹部和胰腺外,我们建议辅助进行原发性左肾周-腹膜后引流。在那些横结肠因急性胰腺炎而遭受循环损伤的病例中,临时结肠造口术取得了良好效果。

相似文献

1
[Acute hemorrhagic pancreatitis--extended abdominal drainage and perirenal drainage links].[急性出血性胰腺炎——扩大的腹腔引流与肾周引流的联系]
Helv Chir Acta. 1979 Dec;46(4):593-7.
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[Acute necroticohemorrhagic pancreatitis. Why, when and how to drain? Apropos of 106 cases].[急性坏死性出血性胰腺炎。为何、何时及如何进行引流?关于106例的探讨]
Chirurgie. 1989;115(9):651-5; discussion 655-6.
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J Chir (Paris). 1975 Jul-Aug;110(1-2):25-38.
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引用本文的文献

1
Results of surgical treatment of necrotizing pancreatitis.
World J Surg. 1985 Dec;9(6):972-9. doi: 10.1007/BF01655406.