摘要
目的探讨十二指肠损伤的早期诊断、合理处理及预后的影响因素。方法回顾性分析本院收治的21例十二指肠损伤患者的临床资料。结果手术治疗21例,治愈20例(95.2%,),死亡1例(4.8%);术后并发症7例(35.0%),其中十二指肠瘘5例(25.0%)、胰瘘2例(10.0%)、腹腔脓肿3例(15.0%)、上消化道出血1例(5.0%)。术后并发症的危险因素分析表明患者确诊时间、术前休克、ISS评分(损伤严重程度的评分标准)可能是预测患者预后的关键因素。结论早期作出诊断,及时纠正休克,选择合理的手术方式,可降低十二指肠损伤术后并发症的发生率。
Objective To investigate the early diagnosis, treatment and prognostic factors of duodenal injury. Method The clinical data of 21 patients with duodenal injury were retrospectively analyzed. Result 21 cases were treated with operation, 20 cases were cured (95.2%), 1 cases died(4.8%);postoperative complications occurred in 7 cases(35.0%), including 5 cases of duodenal fistula (25.0%) , 2 cases of pancreatic fistula (10.0%), 3 cases of abdominal abscess (15.0%), 1 cases of upper gastrointestinal bleeding (5.0%).The time of diagnosis, preoperative shock, iss score may be a predictor of prognosis factors for patients. Conclusion Early diagnosis, timely and correct shock, reasonable operation can reduce the incidence of complications and mortality.
出处
《创伤与急诊电子杂志》
2013年第2期24-27,共4页
Journal of Trauma and Emergency(Electronic Version)
关键词
十二指肠损伤
早期诊断
术式选择
预后因素
Duodenal injury
Early diagnosis
Choice of treatment
prognostic factors
