胰腺损伤的临床诊断及治疗(附34例分析)

Diagnosis and treatment of pancreatic trauma (An analysis of 34 cases)

目的探讨胰腺损伤的诊断及治疗方法。方法回顾性分析1994～2005年收治的34例胰腺损伤患者的临床资料。Ⅰ级胰腺损伤11例,Ⅱ级12例,Ⅲ级7例,Ⅳ级3例,Ⅴ级1例,其中27例(79.4%)合并其它腹腔脏器损伤,21例(61.8%)合并休克。结果全部34例均行手术治疗。全组仅12例(35.3%)术前确诊。治愈32例,治愈率94.1%;2例死亡,死亡率5.9%。结论胰腺损伤早期诊断困难,应高度警惕。对怀疑或诊断为胰腺损伤者,应尽早手术探查,并根据损伤的部位及严重程度,选择合理的手术方式。

Objective To investigate the diagnosis and treatment of pancreatic trauma Methods Clinical data of the 34 patients with pancreatic trauma from 1994 to 2005 was retrospectively analyzed. There were 11 cases with pancreatic trauma in grade 1,12 in grade 2, 7 in grade 3, 3 in grade 4, and 1 in grade 5. Among them,27 cases （79.4%） were associated with other organs injuries,and 21 cases （61.8%） with shock. Results Preoperative diagnosis was confirmed only in 12 cases （35.3%）.Operation was performed in all 34 cases. Among them,32 cases were cured （94.1%）; and 2 cases died （5.9%）. Conclusion Early diagnosis of pancreatic trauma is difficult. So if the diagnosis of pancreatic trauma is suspected or made, laparotomy exploration should be done as early as possible. According to the traumatic site and severe degree, the operative procedures are selected reasonably.