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经窦道Foley导尿管治疗胰十二指肠切除术后复杂胰瘘伴静脉大出血1例报告

付裕 王洋 韩万斌 周荣幸

引用本文:
Citation:

经窦道Foley导尿管治疗胰十二指肠切除术后复杂胰瘘伴静脉大出血1例报告

DOI: 10.12449/JCH241123
基金项目: 

四川省科技支撑项目 (2023YFS0183)

伦理学声明:本例报告已获得患者家属知情同意。
利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:付裕负责课题设计,资料采集与分析,查阅文献,撰写论文;王洋、韩万斌参与收集数据,修改论文;周荣幸负责拟定写作思路,指导撰写文章并最后定稿。
详细信息
    通信作者:

    周荣幸, rongxingzhou@126.com (ORCID: 0009-0008-0970-1491)

Clinical effect of Foley catheter through sinus tract in treatment of complex pancreatic fistula with massive venous hemorrhage after pancreaticoduodenectomy: A case report

Research funding: 

Science and Technology Support Project of Sichuan Province (2023YFS0183)

More Information
  • 摘要: 目前,对于胰十二指肠切除术后胰瘘伴出血的治疗,血管介入和手术是主要的治疗手段,但以上治疗方法都存在一定的弊端,例如手术后出现再次胰瘘、出血、腹腔感染等并发症,介入治疗难以发现出血部位等。本文报道1例经引流管窦道置入Foley导尿管球囊压迫治疗胰十二指肠切除术后复杂性胰瘘伴静脉大出血患者。经导尿管球囊加压止血及有效引流,患者出血停止,消化道瘘痊愈,无胰腺假性囊肿、肠缺血、门静脉高压等并发症。

     

  • 图  1  患者术前MRI检查

    注: a,T2压脂像可见胰腺钩突囊实性占位(白色箭头);b,T1延迟期。

    Figure  1.  Preoperative MRI of patient

    图  2  患者止血后影像检查

    注: a,CT平扫可见抽尽气囊后的Foley导尿管(白色箭头),体外引流的主胰引流管(黑色箭头);b,胃瘫恢复后调整导尿管进入输入袢小肠,行造影并结合口服造影,可见造影剂均入胃后顺利进入输出袢小肠。

    Figure  2.  Imaging examination of patient after hemostasis

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  • 收稿日期:  2024-03-22
  • 录用日期:  2024-04-11
  • 出版日期:  2024-11-25
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