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摘要: 十二指肠损伤属于腹腔镜肾切除术的少见并发症，具有损伤隐匿、后果严重、治疗棘手的特点，如发现不及时或者处置不当极易导致患者死亡。回顾性分析我院2例腹腔镜肾切除术伴十二指肠损伤患者的诊断方法和治疗措施，得出以下经验体会：腹腔镜肾切除术并发十二指肠损伤改善患者预后的关键在于早期诊断，重点在于手术干预为主、留置空肠引流管，辅助术后抗感染、充分引流及营养支持的综合治疗。Abstract: Duodenal injury is a rare complication of laparoscopic nephrectomy, which has the characteristics of hidden injury, serious consequences and difficult treatment. If it is not found in time or handled improperly, it is very easy to lead to the death of patients. The diagnostic methods and treatment measures of 2 patients with duodenal injury after laparoscopic nephrectomy in our hospital were retrospectively analyzed. The following experience was obtained: the key to the prognosis of patients with duodenal injury after laparoscopic nephrectomy is early diagnosis. The important points are comprehensive treatments including surgical intervention, jejunal drainage tube indwelling, postoperative anti-infection, sufficient drainage and adequate nutritional support.
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Key words:
- laparoscope /
- nephrectomy /
- duodenal injury /
- complication
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