临床误诊误治2011，Vol.24Issue(2)：15-16,2.
重度胰腺外伤的诊断与治疗
Diagnosis and Treatment of Severe Pancreatic Trauma
谭黄业 1樊献军 1耿协强 1张力峰 1肖咏梅 1孟承果 1马杰宏1
作者信息
- 1. 661600,云南,开远,解放军59中心医院肝胆外科
- 折叠
摘要
Abstract
Objective To investigate the diagnosis and surgical treatment of severe pancreatic trauma.Methods The clinical data of 22 patients with severe pancreatic trauma admitted during January 1990 and December 2009 was retrospectively analyzed.Results According to trauma gradings of American Society for Surgery of Trauma (AAST), there were 14 cases of grade Ⅲ, 6 cases of grade Ⅳ, and 2 cases of gradeⅤ.Serum amylase was higher than normal value in 7 cases; peritoneal puncture fluid showed amylase was significantly higher in 4 cases; 17 cases received bedside ultrasound B, but only 5 were diagnosed; 10 cases were diagnosed by CT and (or) MRCP examination.All patients underwent surgical treatment according to AAST, including emergency surgery in 14 cases, and elective surgery in 8 cases.3 cases developed postoperative pancreatic fistula complicated with intestinal fistula, and abdominal abscess in 2 cases respectively, and bleeding in 1 case.19 cases were cured and 3 patients died.The cure rate was 86.36％ , and the complication rate was 36.36％.Conclusion Laparotomy is the most reliable diagnostic method for pancreatic trauma, and timely and accurate processing and adequate drainage are the key factors to reduce complications and improve treatment success rate.关键词
胰腺/外伤/术后并发症/肠瘘/腹腔/脓肿/出血Key words
Pancreatic/ Trauma/ Postoperative complications/ Intestinal fistula/ Peritoneal cavity/ Abscess/Bleeding分类
医药卫生引用本文复制引用
谭黄业,樊献军,耿协强,张力峰,肖咏梅,孟承果,马杰宏..重度胰腺外伤的诊断与治疗[J].临床误诊误治,2011,24(2):15-16,2.
