闭合性十二指肠损伤诊治分析

An Analysis of the Diagnosis and Treatment of Closed Duodenal Injury

目的 :总结闭合性十二指损伤的诊治经验 ,以提高诊治水平。方法 :回顾分析闭合性十二指肠损伤 15例的临床资料。结果 :15例中 14例合并其他脏器损伤 ,术前明确诊断 1例 ,术中漏诊3例 ,术后十二指肠漏 3例 ,胰漏 1例 ,治愈 11例 ,死亡 4例。结论 :闭合性十二指肠损伤术前确诊困难 ,术中易漏诊 ;早期明确诊断 ,术中仔细探查 ,选择合适的手术方法 。

Objestive:To investigate the diagnostic methods and treatment principles of the closed duodenal injure.Method:The diagnosis and treatment of 15 patients with the closed duodeual injury during past 10 years were analyzed retrospectively.Result:14 patients were multiple injury,1 case was diagnosed properly before operation,3 cases were misdiagnosed intraoperatively;There were 3 cases with the duodenal fistula and 1 case with pancreatic fistula after operation;11 cases were cured successfully,4 patients died from the complication.Conclusion:It is very difficult to diagnose the closed duodenal injury preoperatively.The early diagnosis,careful intraoperative examination and proper operative method for the closed duodenal injury are very important for the Successful treatment.