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胰腺损伤诊断治疗50例临床分析 被引量:1

DIAGNOSIS AND SURGICAL TREATMENT OF PANCREATIC TRAUMA
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摘要 目的探讨胰腺损伤的诊断和治疗方法。方法回顾性分析1988~2007年收治的50例胰腺损伤的临床资料。结果胰腺损伤I级24例,Ⅱ级12例,Ⅲ级8例,Ⅳ级6例。胰腺远端切除术4例,胰腺近端缝合关闭远端与Roux—en—Y吻合10例,治愈48例,死亡2例。结论胰腺损伤早期,术前诊断困难,对怀疑有胰腺损伤者,应尽早手术探查,并根据胰腺损伤情况选择合理的手术方式,引流要通畅,术后加强营养支持。 Objective To investigate the diagnosis and treatment of Pancreatic Trauma. Methods clinical date of the 50 patients with pancreatic trauma. Results in grade 1, 12 in grade 2, 8 in grade 3,6 in grade 4. there were 4 case of distal pancreatic ectomy. 10 cass of proximal pancreatic seam and DnVal' s Roux -en -y pancreaticoje junostomy ,48 were cured, and 2 died. Conclusion Early diagnosis of pancreatic trauma is difficult, so if the diagno- sis of pancreatic trauma is suspected, should be done as early as possible. The choice of surgical procedure of pancre- atic trauma should be made on the basis of the pancreatic trauma. Drain should be trough free and strengthen trophotherapy after operation
出处 《现代医院》 2008年第9期57-58,共2页 Modern Hospitals
关键词 胰腺损伤 诊断 治疗 Pancreas Trauma, Diagnosis, Treatment
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