摘要
目的探讨胰腺外伤的诊断与治疗方法，总结诊治胰腺外伤的临床经验。方法回顾性分析21例胰腺外伤病例资料，对其诊断、治疗、并发症情况进行总结。结果本组21例患者中，Ⅰ级损伤12例，Ⅱ级损伤6例，Ⅲ级损伤2例，Ⅳ级损伤1例；因合并伤过重死亡4例（1例为术中死亡，3例未来得及手术即死亡）；保守治疗4例；手术治疗14例，术后出现胰漏2例；17例痊愈出院。结论早期诊断胰腺外伤，术中全面探查胰腺，选择合理的手术方式，保持腹腔引流管通畅，以及积极有效的处理并发症，是提高治愈率、降低病死率的关键。
Objective To explore diagnosis and treatment of pancreatic trauma. Methods Diagnosis, treatment and complications of 21 patients with pancreatic trauma were retrospectively analyzed. Results 12 cases were grade Ⅰ injury,6 were grade Ⅱ ,2 were grade Ⅲ and 1 were grade IV. 4 cases were died of severe multiple injuries（ 1 case died intraoperatively and 3 cases died before operation）. 4 cases were treated conservatively. Pancreatic leakage occurred in 2 patients. 17 cases were cured. Conclusion Early diagnosis and comprehensive exploration during operation as well as choosing reasonable operation method, maintaining abdominal cavity drainage tube patency and effectively treating complications are the keys to improve cure rate and reduce mortality of pancreatic trauma.
出处
《医学新知》
CAS
2014年第6期392-394,共3页
New Medicine
关键词
胰腺外伤
诊断
治疗
Pancreatic trauma
Diagnosis
Treatment
