重视胰外伤的诊断及处理

Importance of diagnosis and treatment of pancreatic injuries

胰外伤比较少见 ,且缺乏特异性的临床表现、实验室指标以及影像学征象 ,易于造成诊断和处理的延误 ,其并发症发生率及死亡率均较高。诊断胰腺外伤的关键在于对腹部外伤病人均应考虑到胰外伤的可能并进行相关检查。CT是诊断胰外伤较为可靠的方法。内窥镜胰腺逆行造影 (ERP)及磁共振胰管成像 (MRP)对于诊断胰管损伤具有重要价值。

Pancreatic trauma is uncommon. When pancreatic injury does occur,however it is diffcult to identify. Because of the fact that the clinical,laboratory and radiographic findings of pancreatic injury are not specific,a delay in diagnosis and treatment often occures,which results in a high morbidity and mortality rate. For early diagnosis of pancreatic injury,it is important to be aware of the potential for this injury after abdominal trauma. CT is a reliable method to identify pancreatic trauma. ERP and MRP are valuable to detect pancreatic duct injuries. The surgical and nonsurgical approaches for pancreatic injury should be selected according to the location and the extent of pancreatic injury as well as the condition of pancreatic duct.