闭合性胰腺损伤33例的诊治分析

A analysis of treating 33 cases of blunt pancreatic injury

目的：探讨闭合性胰腺损伤的诊断和治疗方法。方法：对我院2006年1月至2010年1月收治的闭合性胰腺损伤33例的临床资料进行回顾性分析。结果：胰腺损伤Ⅰ级4例，Ⅱ级12例，Ⅲ级8例，Ⅳ级5例，Ⅴ级4例，33例均行手术治疗，全组死亡2例，8例术后出现胰瘘、胰腺假性囊肿等并发症。结论：胰腺损伤早期诊断困难，应高度警惕，根据胰腺损伤的程度尽早选择合理的手术方式可提高治愈率，降低死亡率。

Objective： To explore the therapy of diagnosis and treatment of blunt pancreatic injury. Methods： Analysis of 33 patients with blunt pancreatic injury treated in our hospital from Janurery 2006 to Janurery 2010 were retrospectively analyzed. Results： There were 4 casesofpancreatic trauma in grade Ⅰ, 12 in grade Ⅱ, 8 in gradeⅢ, 5 in grade Ⅳ, 4 in gradeⅤ. All cases with blunt pancreatic injury were all determined preoperatively, 2 patients died of multiple organ failure, 8 patients pancreastic fistula and pancreastic pseudocysts are the main complications. Conclusion： Early diagnosis of blunt pancreatic injury is difficult, so if the diagnosis of blunt pancreatic injury is suspe -cted or made, laparotomy exploration should be done as early as possible. Appropriate operation is the key to reduce the complication and mortality based on patient＇s condition and the classification of pancreatic trauma.