摘要
通过动物实验以探讨不同负压值在腹腔引流中的效果，进而应用于临床治疗急性重症胰腺术后病例。其方法是：向兔腹腔滴注生理盐水，运用不同负压值的主动引流方式回收液体。结果：低负压组兔（1．5kPa）液体回收率最高（70％），与其它3组（负压值分别为0、5及15kPa）比较，有显著性差异（P＜0．01）。在此基础上，将1．5kPa持续低负压引流用于急性重症胰腺炎术后20例，亦取得良好效果。本实验结果提示：腹腔持续低负压引流对于急性重症胰腺炎术后病例具有减少并发症、促进恢复和降低死亡率的作用。
To find out the appropriate negative pressure for abdominal drainage and apply it to the postoperativeabdominal drainage of patient with acute pancreatitis are reported. Abdominal tube was inserted to rabbbit for negativepressure drainage monitoring and another tubs was cuserted into the abdomen for continuous normal saline instllation.The recollections of drainage fluid under different negative pressure were measured.The results showed that the fluiddepletion rate(70%)of the low negative pressure group(1.5 kPa)was higeher than that other in 3 groups(negativepressure 0 kPa,5 kPa and 15 kPa) (P < 0.01) .With this continuous low negative pressure drainage in 20 patients af-ter severe pancreatitis operation,we found that this method have more advantages of reducing complication,promotingrecovery and reducing death rate.
关键词
胰腺炎
持续低负压引流
手术后
应用
Acute pancreatitis, Continuous low negative pressure drain
