摘要
目的 分析严重胰腺外伤患者的临床表现及处理方法 ,探讨严重胰腺外伤的诊治对策。方法 回顾性分析 2 3例严重胰腺闭合性损伤并同时合并主胰管断裂患者的临床资料及救治经过 ,根据胰腺损伤的严重程度而选择不同的手术方式。结果 CT检查对胰腺闭合性损伤确诊率可高达 10 0 %。本组患者均行手术治疗 ,其中远端胰 (或加脾 )切除术 9例 ,远端胰腺空肠吻合术 9例 ,主胰管端端吻合加胰管内支撑术 1例 ,改良十二指肠憩室化手术 4例。 2 3例患者经救治均痊愈出院。结论 胰腺闭合性损伤临床表现隐晦 ,CT可明显提高术前确诊率。
Objective To analyze the clinical data of patients with severe pancreatic trauma with injuries of the pancreatic duct,and to investigate better ways of diagnosis and treatment.Methods 23 cases of blunt pancreatic trauma with injuries of pancreatic duct were reviewed retrospectively.We also analysed the different operations performed according to the severity of pancreatic trauma.Results The results showed that all the 23 cases could be diagnosed by CT scan.Emergency operations were performed for all the patients,among them,distal part of pancreas were removed in 9 cases;pancreaticojejunostomy in 9 cases;end end pancreatic duct anastomosis in 1 case and pyloric exclusion operations in 4 cases.Conclusion CT scan is the most helpful means to diagnose pancreatic trauma.An appropriate and timely emergency operation is the key to reduce mortality. [
出处
《中华急诊医学杂志》
CAS
CSCD
2001年第4期247-249,共3页
Chinese Journal of Emergency Medicine
