闭合性十二指肠损伤诊治探讨

Investigation on the diagnosis and treatment of closed injury of duodenum

目的:探讨闭合性十二指肠损伤临床诊断以及治疗措施。方法:2006年3月-2012年2月收治闭合性十二指肠损伤患者45例,对其临床资料进行回顾性分析。结果:在临床手术之前确诊38例(84.4%),误诊7例(15.6%)。45例全部经过手术治疗,在临床手术以后出现并发症12例(26.7%),治愈44例(97.8%),死亡1例(2.2%)。结论:对腹部闭合性损伤患者应该考虑出现十二指肠损伤的可能性,及时诊断、及时治疗是诊治的关键,可以使死亡率明显减少,使患者健康生活质量得到保障。

Objective:To investigate the diagnosis and treatment of closed injury of duodenum.Methods:45 patients with closed duodenum injury were selected from March 2006 to February 2012,and their clinical data were retrospectively analyzed.Results:38 cases were diagnosised in before the clinical operation(84.4%);7 cases were misdiagnosed(15.6%).All the 45 cases were received operation treatment;a total of 12 patients were occurred complications after clinical operation(26.7%);44 cases were cured(97.8%);1 cases was death(2.2%).Conclusion:Patients with blunt abdominal trauma should consider the possibility of duodenal injury,in order to diagnoze early and give the treatment timely,to make the mortality reduced significantly,to make sure the life quality of patients with health protection.