胰腺外伤24例临床诊治分析

Diagnosis and Treatment of 24 Pancreatic Trauma Cases

目的:探讨胰胰外伤的临床诊断和治疗。方法:回顾25年间胰腺外伤24例诊疗经验。结果:治愈20例(83.3%),死亡4例(16.7%)。严重并发症8例,其中胰瘘3例,腹腔脓肿2例,假性胰腺囊肿2例,胰腺出血1例。结论:胰腺外伤早期诊断是降低并发症和死亡率的关键,根据胰腺损伤程度的不同采用相适应的术式是基本原则。

Objective： To study the diagnosis and treatment of pancreatic trauma. Methods： 24 cases with pancreatic trauma treated from 1981 to 2005 were analyzed retrospectively . Results： Of 24 cases, 20 cases cured and 4 died. 8 cases were complication,and 3 cases pancreatic fistula, and 2 cases abdominal abscess, and 2 cases pancreatic pseudocysts, and 1 case pancreatic haemorrhage. Conclusions： Early diagnosis of pancreatic trauma is criticat for reduce the complication and mortality. The kinds of operation should be made with the severity of pancreatic trauma.