摘要
目的探讨胰腺损伤诊断方法,手术中的应对措施及并发症防治。方法回顾分析32例胰腺损伤的临床资料。结果本组32例中,治愈29例,死亡3例,病死率9.4%。单纯性胰腺损伤5例,合并其他脏器损伤27例。发生损伤性胰腺炎2例,胰瘘4例,假性胰腺囊肿2例,消化道出血1例,小肠梗阻1例。结论剖腹探查是胰腺损伤最可靠的早期诊断方法,及时合理的手术治疗及术后通畅引流是改善预后的关键。
Objective To explore the diagnosis, prevention and treatment of postoperative complication of the pancreatic trauma. Methods The clinical data of 32 patients with pancreatic trauma were analyzed retrospectively. Result 29 cases were cured and 3 cases died. The mortality was 9.4%. 5 cases were simple pancreatic trauma and 27cases had other organs trauma at the same time. 2cases had traumatic pancreatitis ,4 cases pancreatic fistula,2 cases pancreatic pseudocyst, 1 case gastrointestinal hemorrhage, lease ileus. Conclusions The exploratory laparotomy is the most dependable method at the early stage. The key procedures for improvement of the prognosis are the timely and effective operation and postoperative unobstructed drainage.
出处
《肝胆外科杂志》
2009年第1期46-47,共2页
Journal of Hepatobiliary Surgery
关键词
胰腺损伤
合并伤
诊断
手术
Pancreatic trauma
Concurrent trauma
Diagnosis
Operation
