胰腺损伤36例临床分析

Clinical analysis of 36 patients with pancreatic trauma

目的探讨胰腺损伤的早期诊断和治疗方法,降低胰腺损伤并发症的发生率和死亡率,以提高胰腺损伤的临床救治水平。方法回顾性总结36例胰腺损伤病人的临床资料,分析胰腺损伤的损伤程度、诊断方法、手术方式及治疗效果。结果本组均行手术治疗。术前确诊7例,其余均在术中确诊。根据胰腺损伤的部位及程度选择相应的手术方式。临床治愈29例,死亡7例,其中5例死于严重合并伤,2例死于胰腺损伤后各种并发症。结论胰腺损伤严重程度与预后密切相关。根据胰腺损伤的部位及程度选择合理的手术方式,防止或减少并发症的发生,加强围术期管理,可提高胰腺损伤的救治成功率。

Objective To investingate the early diagnosis and treatment of pancreatic tranma,reduce pancreatic tranma rate of complications and mortality,to improve the clinical treatment of pancreatic trauma level.Methods 36 cases of pancreatic injury patients clinical information were reviewed retrospectively,pancreatic tranma to the extent of the injury,diagnosis,treatment and surgical methods were analysis.Results This group of patients underwent surgical treatment.Seven cases before the surgery were confirmed,and...