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| 1 | Anaesthetic perioperative management of patients with pancreatic cancer显示文摘Pancreatic cancer remains a significant and unresolved therapeutic challenge.Currently,the only curative treatment for pancreatic cancer is surgical resection.Pancreatic surgery represents a technically demanding major abdominal procedure that can occasionally lead to a number of pathophysiological alterations resulting in increased morbidity and mortality.Systemic,rather than surgical complications,cause the majority of deaths.Because patients are increasingly referred to surgery with at advanced ages and because pancreatic surgery is extremely complex,anaesthesiologists and surgeons play a crucial role in preoperative evaluations and diagnoses for surgical intervention.The anaesthetist plays a key role in perioperative management and can significantly influence patient outcome.To optimise overall care,patients should be appropriately referred to tertiary centres,where multidisciplinary teams(surgical,medical,radiation oncologists,gastroenterologists,interventional radiologists and anaesthetists)work together and where close cooperation between surgeons and anaesthesiologists promotes the safe performance of major gastrointestinal surgeries with acceptable morbidity and mortality rates.In this review,we sought to provide simple daily recommendations to the clinicians who manage pancreatic surgery patients to make their work easier and suggest a joint approach between surgeons and anaesthesiologists in daily decision making. | Lesley De Pietri Roberto Montalti Bruno Begliomini | 2014 | World Journal of Gastroenterology2014，20，9： | 1 |
| 2 | 信息化血糖管理在胰十二指肠切除患者中的应用显示文摘目的探讨信息化血糖管理在胰十二指肠切除患者中的应用效果。方法选取64例胰十二指肠切除患者按随机数字表法分为观察组与对照组各32例,观察组采用实时动态血糖监测系统,按血糖调控方案调整静脉泵注胰岛素用量;对照组采用传统血糖监测方法,按比例通过中和葡萄糖静脉输注胰岛素。对比2组患者术后1~3 d、4~6 d血糖平均值及并发症发病率、平均住院日。结果观察组术后1~3 d、4~6 d血糖平均值分别为(5.8±0.4)mmol·L^(-1)、(5.4±0.5)mmol·L^(-1),对照组分别为(7.8±1.6)mmol·L^(-1)、(7.3±1.5)mmol·L^(-1),组间差异均有统计学意义(P<0.05);观察组与对照组术后并发症总体发病率(9.4%vs 34.4%)及平均住院日[(14.6±3.2)d vs(16.5±3.7)d]比较差异均有统计学意义(P<0.05)。结论实时动态血糖监测对胰十二指肠切除患者进行精细信息化血糖管理,可使血糖控制在理想水平,有利于减少术后并发症,缩短平均住院日。 | 李艳艳 尚培中 楼标雷 刘冰 南润玲 苗建军 吕瑞昌 | 2024 | 河北北方学院学报(自然科学版)2024，40，2： | 0 |
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