十二指肠损伤的诊断和肠道重建方法

Diagonsis of blunt duodenal injury and rebuilding alimentary tract

回顾本院在35年中收治25倒闭合性十二指肠损伤的诊断和处理。本组病例以中青年为主，术前确诊5例（20％）。作者强调及时手术、术中仔细探查、选择正确的术式、通畅引流的重要性。总结了胃肠道重建方法，对于严重的十二指肠损伤应行十二指肠憩室化手术或采用改良三造瘘的术式。

A high mortality of blunt duodenal injury and severe postoperative complications occurred because of the difficult diagnosis pre-operatively and the easy lost-diagnosis during the operation.A retrospective review of 25 patients with blunt duodenal injury had been admitted to our hospital during35-year period (1962 through 1996). The most patients were adult in our group. of 25 cases, 3 died(12%), 5 were correctly diagnosed preoperatively and the rest diagnosed during operation. Author sup-poses to operate early and examine duodenum and the other organs carefully during the course of laparo-tomy. Operative method was also chosen properly. Duodenal diverticulization or modified three-tube technique is recommended in the severe duodenal injury.