摘要
目的探讨胰腺外伤的临床诊断与治疗措施。方法回顾性分析1992～2004年我院收治的23例胰腺外伤的病例资料。结果23例患者全部行手术治疗,术前只有9例确诊,20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2例,十二指肠憩室化3例、胰体尾脾切除7例、胰腺裂伤修补与外引流9例。术后并发胰瘘和胰腺假性囊肿6例,死亡5例。结论胰腺外伤术前诊断率低,常合并多器官损伤,剖腹探查术是早期诊断最简单可靠的方法。腹部外伤中保持对胰腺外伤的警惕,并在剖腹探查术中常规探查胰腺是早期发现和避免漏诊胰腺外伤的关键。
Objective:To approach clinical diagnosis and therapeutic measure for pancreatic trauma.Methods Retrospectively analyzing the data of 23 cases of pancreatic trauma being treated in our hospital from 1992 to 2004.Results: All cases underwent operation,only 9 for final diagnosis before operation,20 cases complicated organ injury,one ablated pancreas-duodenum,two cases mended lacerated wound of head of pancreas and coincided by Roux-en-Y in distal end pancreas-jejunum,three duodenal diverticulum,seven cases ablated body and tail of pancreas and spleen,9 cases underwent mending lacerated wound of pancreas and external drainage.After operation,6 cases complicating pancreatic fistula and pseudocyst,five died in all cases.Conclusion: The rate of preoperative diagnosis for pancreatic trauma is low,often complicating organ injury,exploratory laparotomy is the most simple and dependable early diagnosis for pancreatic trauma,when executing exploratory laparotomy,to explore pancreas in routine is the key to early discovery and avoiding missed diagnosis for pancreatic trauma.
出处
《井冈山大学学报（自然科学版）》
2006年第5期90-92,共3页
Journal of Jinggangshan University (Natural Science)
关键词
胰腺外伤
诊断
治疗
Pancreatic Trauma
Diagnosis
Treatment
