摘要
在腹部创伤中,胰腺创伤的发生率低于临近的肝、脾和肾等脏器,但一旦损伤后,其症状、体征及其病理损害有着独特的表现,诊疗更为复杂,并发症发生率和病死率较高。我院2005年1月-2010年1月收治了存在腹部创伤的患者236例,其中确定有胰腺损伤的有46例,占19.49%。
出处
《江苏医药》
CAS
北大核心
2013年第3期355-356,共2页
Jiangsu Medical Journal
基金
南京市医学科技发展项目(YKK11105)
参考文献8
-
1Scollay JM,Yip VS,Garden OJ. A population-based study of pancreatic trauma in Scotland[J].World Journal of Surgery,2006,(12):2136-2141.
-
2贺学勤,陈厚良.急性重症胰腺炎18例治疗体会[J].华中医学杂志,2001,25(4):215-215. 被引量:3
-
3Valentino M,Serra C,Pavlica P. Blunt abdominal trauma:diagnostic performance of contrast-enhanced US in children-initial experience[J].Radiology,2008,(03):903-909.doi:10.1148/radiol.2463070652.
-
4Subramanian A,Dente CJ,Feliciano DV. The management of pancreatic trauma in the modern era[J].Surgical Clinics of North America,2007,(06):1515-1532.
-
5Phelan HA,Minei JP. Pancreatic trauma:diagnostic and therapeutic strategies[J].Current Treatment Options in Gastroenterology,2005,(05):355-363.doi:10.1007/s11938-005-0038-4.
-
6周健,李德春,张逸,朱东明.胰腺外伤术后胰瘘的诊治体会[J].江苏医药,2010,36(1):111-112. 被引量:4
-
7Bosboom D,Braam AW,Blickman JG. The role of imaging studies in pancreatic injury due to blunt abdominal trauma in children[J].European Journal of Radiology,2006,(01):3-7.doi:10.1016/j.ejrad.2006.03.010.
-
8张国典,钟进营,韩文献,吴新宇,李宁博.双套管对冲负压引流术治疗胰腺损伤12例体会[J].中华肝胆外科杂志,2005,11(4):240-240. 被引量:8
二级参考文献8
-
1李波,霍永忠.胰腺外伤的诊疗现状与进展[J].创伤外科杂志,2005,7(5):321-324. 被引量:26
-
2侯宽永 袁炯 等.急性出血坏死性胰腺炎20例诊治总结[J].现代外科,1996,3(1):14-14.
-
3Degiannis E, Glapa M, Loukogeorgakis SP, et al. Management of pancreatic trauma[J].Injury, 2008,39 (1) : 21-29.
-
4Bassi C, Dervenis C, Butturini G, et al. PoStoperative pancreatic fistula:an international study group definition [J].Surgery, 2005,138(1) : 8-13.
-
5Alexakis N, Sutton R. Neoptolemos JP. Surgical treatment of pancreatic fistula[J].Dig Surg, 2004,21 (4) : 262-274.
-
6Li-Ling J, Irving M. Somatostatin and octreotide in the prevention of postoperative pancreatic complications and the treatment of enterocutaneous pancreatic fistulas: a systemic review of randomized, controlled trails[J].Br J Surg, 2001,882 (23) : 190-199.
-
7Dhebri AR, Ferran N. Nonsurgical management of pancreaticopleural fistula[J].JOP, 2005,6 (2): 152-161.
-
8李宝华.非手术治疗重症急性胰腺炎[J].中国实用外科杂志,1999,19(9):529-531. 被引量:76
共引文献12
-
1唐程.经输尿管导管冲洗引流治疗胰瘘体会[J].现代保健(医学创新研究),2006(7):55-55.
-
2熊成龙,章园,向进见,沈世强.胰腺创伤并发症的处理[J].华中医学杂志,2004,28(5):282-283.
-
3徐晓琼,李疆.伴有腹内脏器伤的胰腺损伤围手术期护理[J].温州医学院学报,2007,37(2):113-113.
-
4吕进军,车在世,石有珍,赵建新.外伤性胰腺损伤后胰瘘8例治疗分析[J].中国煤炭工业医学杂志,2007,10(10):1153-1153.
-
5曹明溶,张帆,龚瑾,刘志龙.胰腺外伤的诊治37例分析[J].暨南大学学报(自然科学与医学版),2008,29(2):209-211.
-
6陈明善.28例胰腺损伤术后灌洗引流体会[J].医学信息(手术学分册),2008,21(7):642-643.
-
7王金斌,王晓勇,杜志晗.外伤后胰腺损伤16例诊治体会[J].肝胆胰外科杂志,2010,22(2):140-141. 被引量:1
-
8何铁英,赵阳,苏力担卡扎.仇曼,韩玮,陈启龙.严重胰腺损伤合并多脏器损伤的外科治疗[J].中国普通外科杂志,2011,20(9):1008-1010. 被引量:6
-
9欧阳卫东.胰十二指肠切除术后胰瘘的危险因素、预后及预防[J].内蒙古中医药,2012,31(23):7-9. 被引量:2
-
10陆凯,周健,张逸,张立峰,宋世铎,朱东明,张子祥,李德春.胰体尾切除术后24例并发症的危险因素分析[J].江苏医药,2015,41(7):770-772. 被引量:2
同被引文献22
-
1Rychikhin VM, Sariev AK, Pomytkin IA. Anticonvulsant effect of dicholine succinate on primary generalized epilepsy model in mice [J]. Eksp Klin Farmakologiia, 2013, 76(3): 10-12.
-
2Onur C, Stcvcn K, Sharmila G, ct al. The successful use of simple tube duodcnostomy in large duodenal perforations from varied etiol- ogies [J]. International Journal of Surgery Case Reports, 2013, 4(3): 279-282.
-
3Hassenpflug M, Hartwig W, Strobel O, et al. Decrease in clinically relevant pancreatic fistula by coverage of the pancreatic remnant after distal pancreateetomy[J]. Surgery, 2012,152(3 Suppl 1) ;164-171.
-
4Trottman P, Swett K, Shen P, et al. Comparison of standard distal pancreatectomy and splenectomy with radical antegrade modular pancreatosplenectomy[J]. Am Surg, 2014, 80 (3) : 295-300.
-
5Makni A, Rebai W, Daghfouss A, et al. Risk factors associated with pancreatic fistula after distal pancreatectomy[J]. Tunis Med, 2012,90(2) : 148-153.
-
6Ferrone CR, Warshaw AL, Ratmer DW, et al. Pancreatic fistula rates after 462 distal pancreatectomies: staplers do rot decrease fistula rates[J]. J Gastrointest Surg,2008,12(10): 1697-1698.
-
7Bassi C, Dervenis C, Butturini G, et al. Postoperative pancl'e- atic fistula;an international study group (ISGPF) definition[J]. Surgery, 2005,138(1) : 8-13.
-
8Wente Mlq, Veit JA, Bassi C, et aL Postpanereateetomy hemorrhage (PPH)-an International Study Group 0f Pancre- atic Surgery (ISGPS) definition[J]. Surgery, 20(17,142 ( 1 ) : 20-25.
-
9Yoshioka R,Saiura A, Koga R, et al. Risk factors for clinical pancreatic fistula after distal pancreatectomy: analysis of consecutive 100 patients[J]. World J Surg,2010,34(1):121- 125.
-
10Soejima Y, Shirabe K, Yoshizumi T, et al. A simple and secure ligation of the main pancreatic duct in distal pancreate- ctomy[J]. J Am Coll Surg,2013,216(3) :e23-e25.
引证文献2
-
1聂明,陈志丹.损伤控制下胰周外引流加三造口术治疗闭合性胰腺创伤效果观察[J].海南医学,2015,26(6):865-867. 被引量:1
-
2陆凯,周健,张逸,张立峰,宋世铎,朱东明,张子祥,李德春.胰体尾切除术后24例并发症的危险因素分析[J].江苏医药,2015,41(7):770-772. 被引量:2
二级引证文献3
-
1梁华珍,陈贤,陆慧芳.综合保温措施对老年腹部手术患者术中应激反应的影响[J].广西医学,2015,37(7):1023-1024. 被引量:27
-
2薛红娣,刘双海,陈胜,胡俊,周一夫.腹腔镜胰体尾切除术15例效果分析[J].中华腔镜外科杂志(电子版),2016,9(2):106-109. 被引量:2
-
3巩照华,赵文英,陈焕伟,王峰杰.胰周外引流三造口术与传统术式治疗闭合性胰腺创伤的对照研究[J].吉林医学,2016,37(6):1416-1418.
-
1晋林.胰腺创伤12例临床诊治体会[J].基层医学论坛,2011,15(11):305-306.
-
2梁安裕,李保田.胰腺创伤2例误诊原因分析[J].实用医药杂志(武汉),1998,11(2):55-56.
-
3迟彦帮.胰腺创伤的病理改变与临床特征[J].人民军医,1991,34(10):15-17.
-
4迟彦邦.胰腺创伤的诊断与急诊处理[J].人民军医,1991,34(10):17-20.
-
5罗帅志.胰腺创伤17例分析[J].中华创伤杂志,1994,10(3):142-142. 被引量:6
-
6李际辉,华积德.胰腺创伤的诊断与治疗[J].实用外科杂志,1991,11(7):387-389. 被引量:23
-
7李承钢.胰腺创伤的术式选择(附17例)[J].职业卫生与病伤,2003,18(3):243-244.
-
8樊兴华.用外固定支架-行损伤控制性疗法对开放性骨折患者进行治疗的效果研究[J].当代医药论丛,2016,14(8):146-147. 被引量:3
-
9高连才,吴国富.假性胰腺囊肿的诊断及治疗[J].大理学院学报(综合版),2003,2(3):53-54.
-
10陈小莉,贾鹏松,张勇.胰腺创伤治疗28例[J].河南医药信息,2001,9(18):28-29.