摘要
在闭合性腹部钝性损伤中,胰腺因其解剖位置关系,其损伤少于其他实质性器官,而与十二指肠同时受损的机会增多。胰腺破损,淀粉酶等消化酶可直接进入周围组织,激活后有消化、损毁组织的作用,影响组织的修复、愈合。损伤控制外科理念在胰十二指肠损伤处理中的应用具有特定的意义,是当前处理该类损伤得到共识的处理原则,改善了治疗效果,减少了严重并发症的发生。
In blunt abdominal traumas,pancreas is rarelyinjured due to its anatomical localization when compared toother abdominal solid organes. Because of leakage of corrosivepancreatic juice from a disrupted duct and the consequentperipancreatic necrotic sepsis and coexisting injuries to otherintra-abdominal organs,the trauma may causing highermorbidity and mortality. Optimal management and betteroutcome of pancreaticoduodenal injuries seem to be associatedwith shorter operative time and with simple technics incontrast to definitive surgical procedures. Damage controlsurgery（DCS） should be applied for pancreatlcoduodenaltrauma as the managment principle, which can not only improve the treatment effect but also reduce the incidence ofsevere complication.
出处
《中国实用外科杂志》
CSCD
北大核心
2015年第3期237-239,共3页
Chinese Journal of Practical Surgery
关键词
损伤控制外科
胰十二指肠损伤
damage control surgery
pancreaticoduodenal trauma
