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TPN结合生长抑素治疗胰外瘘临床观察

Clinical observance of the treatment to the pancreatic fistula used TPN combined with Somatostatin

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【作者】 胡瑞祥郭建辉常永琼

【Author】 Hu Ruixiang; Guo Jianhui; Chang Yongqiong(Yunnan Provincial People’sHospital, Kunming 650032)

【机构】 云南省人民医院!昆明650032

【摘要】 对15例胰外瘘病人按时间先后分为对照组(n=8)与治疗组(n=7),对照组采用一般治疗,治疗组采用TPN结合十四肽生长抑素(Somatostatin)进行治疗,并作临床对比观察。结果表明,治疗组瘘口引流量明显低于对照组(P<0.05),血淀粉酶比对照组下降较快(P<0.05),瘘口闭合时间比对照组显著缩短(P<0.01)。作者认为,TPN结合生长抑素是治疗胰外瘘一种新的有效方法,值得推广应用。

【Abstract】 From August 1993 to May 1997. on the basis of time order, we divided ic patients with pancreatic fistula into two groups: the control group (n=8 ), using general Treatment and the therapetic group (n=7), using TPN combined with Somatostatin. Theresults of this clinical contrast indicated that the drainage of the fistula in the therapetic group is lower obviously than that in the controlgroup (P<0.05 ); The serum amylase level decreased faster than that of the control group (P<0.05 ); The clinical healing time was shortened significantly compared to the control group (P<0.01 ). We consider that TPN combined with Somatostatin is a new efficative treatment to the pancreatic fistula, descrying popular application.

【关键词】 胰外瘘TPN生长抑素
【Key words】 Pancreatic fistulaTPNSomatostatin
  • 【文献出处】 临床外科杂志 ,JOURNAL OF CLINICAL SURGERY , 编辑部邮箱 ,1998年02期
  • 【分类号】R657.5
  • 【被引频次】3
  • 【下载频次】7
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