前言目的探讨胰腺外伤的临床诊断与治疗措施。方法回顾性分析1992～2004年我院收治的23例胰腺外伤的病例资料。结果23例患者全部行手术治疗,术前只有9例确诊,20例合并其它器官损伤,胰十二指肠切除1例、胰头裂伤修补加远端胰腺空肠Roux-en-Y吻合2例,十二指肠憩室化3例、胰体尾脾切除7例、胰腺裂伤修补与外引流9例。术后并发胰瘘和胰腺假性囊肿6例,死亡5例。结论胰腺外伤术前诊断率低,常合并多器官损伤,剖腹探查术是早期诊断最简单可靠的方法。腹部外伤中保持对胰腺外伤的警惕,并在剖腹探查术中常规探查胰腺是早期发现和避免漏诊胰腺外伤的关键。
Objective:Toapproachclinicaldiagnosisandtherapeuticmeasureforpancreatictrauma.MethodsRetrospectivelyanalyzingthedataof23casesofpancreatictraumabeingtreatedinourhospitalfrom1992to2004.Results:Allcasesunderwentoperation,only9forfinaldiagnosisbeforeoperation,20casescomplicatedorganinjury,oneablatedpancreas-duodenum,twocasesmendedlaceratedwoundofheadofpancreasandcoincidedbyRoux-en-Yindistalendpancreas-jejunum,threeduodenaldiverticulum,sevencasesabl...
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