胰腺损伤的诊断与治疗(附31例报告)

Diagnosis and treatment of pancreatic trauma :a report of 31 cases

目的:探讨胰腺损伤的诊断和治疗方法。方法:回顾性分析1995年1月至2006年12月收治的31例胰腺损伤患者的临床资料。结果:胰腺损伤Ⅰ级11例,Ⅱ级9例,Ⅲ级6例,Ⅳ级3例,Ⅴ级2例。单纯胰腺损伤4例,合并其他器官损伤27例。31例均行手术治疗,治愈16例,死亡5例。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 31 patients with pancreatic trauma treated from 1995 to 2006 were retrospectively analyzed. Results：There were 11 cases of pancreatic trauma in grade 1,9 in grade 2,6 in grade 3,3 in grade 4,2 in grade 5. Four patients with only pancreatic trauma ,meanwhile 16 patients were combined with other organ injuries. Operation was performed on all 31 cases. Of them ,16 were cured ,and 5 died after operation. 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. The choice of surgical procedure should be made on the basis of the location ,type and severity of the pancreatic trauma ,so as to decrease the morbidity and mortality and to improve the outcome of the pancreatic trauma.