摘要
目的:探讨胰腺外伤的临床诊断和有效的治疗。方法:回顾分析过去近10年本院收治的19例胰腺外伤的病例资料。结果:19例患者均行手术治疗,术前7例确诊,17例合并其它器官损伤,胰十二指肠切除1例、胰头裂伤修补加远端胰腺空肠Roux-en-Y吻合1例、十二指肠憩室化3例、胰体尾脾切除6例、胰腺裂伤修补与外引流8例,死亡4例。结论:胰腺外伤术前确诊率较低,早期诊断早期发现及防止漏诊胰腺外伤的可靠且简单的方法是剖腹探查术,关键是在剖腹探查术中常规探查胰腺。
Objective: Discussion pancreatic gland flesh wound clinical diagnosis and effective treatment. Method: Review analysis in the past near 5 year admitting 19 example pancreatic gland flesh wound case of illness material. Results: 19 example patient good surgery treats, the technique first 7 example diagnosis, 17 examples merge other organ damage, the pancreas duodenum excise 1 example, the caput pancreatis lacerated wound repair supplement far-end pancreatic gland jejunum Roux-en-Y to tally 1 example, the duodenum rest the room 3 examples, the pancreas body splenectomy 6 examples, pancreatic gland lacerated wound patching with the outside drainage 8 examples, died 4 examples. Conclusion : In front of the pancreatic gland flesh wound technique diagnoses rate is low,the early diagnosis reliable also the simple method for cuts open the belly the exploratory operation, the early time discovered and prevented leaks examines the pancreatic gland flesh wound the key is in cuts open the belly in the exploratory operation the conventional investigation pancreatic gland.
出处
《广州医学院学报》
2011年第2期123-124,共2页
Academic Journal of Guangzhou Medical College
关键词
胰腺外伤
临床分析
pancreatic gland flesh wound
clinical analysis