胰腺肿瘤剜除术后并发胰漏的护理体会-临床护理进展-CSCIED科技核心评价数据库-手机版

胰腺肿瘤剜除术后并发胰漏的护理体会

Nursing experience of pancreatic leakage after enucleation of pancreatic tumor

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DOI	10.12208/j.jacn.20240228
刊名	临床护理进展 Journal of Advances in Clinical Nursing
年，卷(期)	2024, 3(6)
作者	李亚男,唐雯洁*,
作者单位	复旦大学附属肿瘤医院护理部，复旦大学上海医学院肿瘤学系上海 ;
摘要	探讨胰腺肿瘤剜除术后并发胰漏的发生的临床表现及护理要点。方法回顾性分析我科于2022年10月至2023年10月收治的行微创胰腺肿瘤剜除术患者术后并发胰漏的患者临床观察及护理要点。结果患者均顺利完成手术，无中转开腹，其中发生生化漏24例（24%），胰漏62例（62%），B级胰漏38例（38%），无C级胰漏，亦未出现胰漏相关严重并发症。随访观察未发现患者出现需胰酶辅助的消化不良和新发糖尿病。结论胰腺肿瘤剜除术相较于传统标准胰腺切除更为安全，最大限度地保留胰腺功能，可改善患者长期生活质量，通过正确有效治疗措施及护理干预，制定个体化的护理策略，加强腹腔引流的综合管理是治疗胰漏的关键。
Abstract	Objective To investigate the clinical manifestations and nursing points of pancreatic leakage after enucleation of pancreatic tumor. Methods Clinical observation and nursing points of patients with pancreatic leakage after minimally invasive pancreatic tumor enucleation admitted to our department from October 2022 to October 2023 were retrospectively analyzed. Results All patients successfully completed the operation without conversion to laparotomy. Among them, there were 24 cases (24%) of biochemical leakage, 62 cases (62%) of pancreatic leakage, 38 cases (38%) of grade B pancreatic leakage, no grade C pancreatic leakage, and no serious complications related to pancreatic leakage. No dyspepsia and new-onset diabetes were found during follow-up observation. Conclusion Compared with the traditional standard pancreatic resection, pancreatic tumor evisceration is safer, can preserve the function of the pancreas to the maximum extent, and can improve the long-term quality of life of patients. The key to the treatment of pancreatic leakage is to formulate individualized nursing strategies through correct and effective treatment measures and nursing intervention, and strengthen the comprehensive management of abdominal drainage.
关键词	胰腺肿瘤；剜除术；胰漏；护理
KeyWord	Pancreatic tumor; Enucleation; Pancreatic leakage; Nurse
基金项目
页码	59-63

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李亚男,唐雯洁*. 胰腺肿瘤剜除术后并发胰漏的护理体会 [J]. 临床护理进展. 2024; 3; (6). 59 - 63.

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