摘要
目的 :探讨胰腺损伤的临床特点及手术方式。方法 :对 5 7例胰腺损伤患者的临床资料进行回顾性分析。闭合性损伤 4 7例 ,开放性损伤 8例 ,医源性损伤 2例。Ⅰ级胰腺损伤 14例 ,Ⅱ级 2 4例 ,Ⅲ级 13例 ,Ⅳ级 5例 ,Ⅴ级 1例。 5 0例 (87 7% )合并有腹内其它脏器损伤。结果 :全组仅 12例术前明确诊断。手术治疗 5 2例 ,非手术治疗 5例。 5 3例治愈 ,4例 (7 0 % )死亡。 18例 (31 6 % )发生并发症。结论 :胰腺损伤具有合并伤多 ,病情重 ,术前确诊率低 ,术后并发症发生率高等临床特点。死亡的原因主要与严重的合并伤有关。淀粉酶测定可以作为诊断的线索。
Objective:To investigate the clinical features and operative procedure of pancreatic injuries.Methods:The clinical data of 57 patients with pancreatic injuries were analyzed retrospectively,in which there were blunt trauma 47 cases,penetrating trauma 8 cases and iatrogenic trauma 2 cases.There were 14 cases in grade Ⅰ,24 in grade Ⅱ,13 in grade Ⅲ,5 in grade Ⅳ and 1 in grade Ⅴ.Fifty patients(87.7%)were combined with which 52 cases had performed the operation of other intraabdominal organs.Results:The correct diagnosis was made only in 12 patients preoperatively.Fifty-two cases received operative treatment,while only 5 cases had received non-operative treatment.Fifty-three cases were cured,4 patients(7.0%)died eventually.The complications occurred in 18 cases(31.6%).Conclusion:The clinical features of pancreati injuries were multiple associated injuries,the severe condition,lower rate of preoperative diagnosis and higher rate of postoperative complications.The main cause of death of pancreatic injuries was due to the severe concomitant injuries.The amylase determination might give come clue to make further examinations.The most important determinant in managing pancreatic injuries was the integrity of the major pancreatic duct.
出处
《华西医学》
CAS
2003年第4期488-489,共2页
West China Medical Journal
关键词
胰腺损伤
临床特点
术式
诊断
治疗
pancreatic injuries
diagnosis
operative management
