十二指肠损伤的临床诊治(附12例报告)

Clinical diagnosis and treatment of duodenal trauma:report of 12 cases

目的总结十二指肠损伤的特点及手术方法，以提高十二指肠损伤的诊治水平。方法回顾性分析2002-01～2007-12间12例十二指肠损伤的临床资料。结果医源性十二指肠损伤3例，闭合性十二指肠损伤9例。全部病例均经手术治疗，治愈11例（91．6％），死亡1例（8．4％）。结论十二指肠损伤的治疗关键是早期诊断、早期手术，选择适宜的手术方式，进行综合治疗是治疗成功的重要因素。

Objective To study the clinical features of duodenal trauma and the surgical methods in impro- ving therapeutic effects. Methods The clinical data of 12 patients with duodenal trauma were analyzed retrospective- ly. Results 9 cases underwent single neoplasty of duodenum, 2 Roux - en - Y anastomosis and 1 duodenopancrea - tectomy. In 12 cases, 11 were cured, 1 died. Conclusion Early diagnosis of duodenal trauma is difficult. The prop- er choice of operation based on the injury types and the condition of duodenal trauma may be beneficial for improve- ment of survival rates and decrease of complication occurrence.