摘要
目的 研究十二指肠损伤因素,提高其诊断和治疗水平.方法 回顾性总结1968～1998年收治的十二指肠损伤19例,对受伤因素、诊断和治疗进行分析.结果 闭合型损伤占83%,开放型损伤17%;受伤部位以第二段为多占44%,第三段次之占28%;合并伤84%;手术后并发症发生率为28%,死亡率为6%,治愈率94%.结论 十二指肠损伤在我国以闭合性损伤多见.重视术前检查、术中探查及选择恰当术式,加强术后管理,可减少死亡和并发症的发生.
Objective:To analyze the etiology of duodenal trauma and improve the result of its diagnosis and treatment. Methods: Our review includes a thirty years period ending 1998, in which 18 patients with duodenal injuries were treated operatively in our hospital. Results: Fifteen(83%)patients had the blunt injuries.Duodenal trauma and associated injuries was 83%(15/18). The easiest injury part was on the descending part constituting 44%(8/18) ,the secondary on the horizontal part constituting 28%(5/18).The postoperative complication rate was 28%(5/18). The mortality rate is 6% (1/18). Conclusion: The incidence of blunt injuries was high in our country. We suggest that the early diagnosis,exploration and proper surgical management, intensive postoperative care are emphasized to reduce the mortality and complication rate.
出处
《中国现代普通外科进展》
CAS
2000年第1期39-41,共3页
Chinese Journal of Current Advances in General Surgery
关键词
创伤性十二指肠损伤
诊断
治疗
Duodenal disease
Wounds and injuries
Diagnosis
Therapeutics
