解放军医学院学报Issue(11)：1152-1154,3.DOI:10.3969/j.issn.2095-5227.2013.11.016
60例创伤性胰腺损伤的临床诊治分析
Diagnosis and treatment of traumatic pancreatic injury:A report of 60 cases
李盈 1陈永亮 1严力 1刘志伟 1冯建1
作者信息
- 1. 解放军总医院 肝胆外科，北京 100853
- 折叠
摘要
Abstract
Objective To summarize the experience in diagnosis and treatment of traumatic pancreatic injury.Methods Clinical data about 60 patients with pancreatic injury admitted to our hospital from August 1993 to September 2012 were retrospectively analyzed.Results Of the 60 traumatic pancreatic injury patients, 25 were classified as gradeⅠinjury, 19 as gradeⅡinjury,6 as gradeⅢ injury,6 as gradeⅣ injury and 4 as gradeⅤ injury according to the AAST classification. Of these patients, 17 underwent conservative treatment and 43 underwent surgical treatment. Of the 43 patients who underwent surgical treatment, 29 underwent pancreatic injury repair and drainage, 5 pancreaticojejunostomy, 2 pancreatoduodenectomy, 1 distal pancrea resection, 4 operative exploration, 2 primary debridement and secondary pancreaticojejunostomy. Of the 60 patients, 54 were cured, 4 died and 2 gave up treatment, with no complication occurred in 29, but pancreaticfistula in 15, abdominal infection in 9, pancreatic pseudocyst in 8, pancreatic duct stenosis in 1, multiple organ failure in 2.Conclusion Surgical procedure for the treatment of pancreatic injury should be decided according to its specific condition. Damage-control procedure should be performed for severe pancreatic injury. Sufficient postoperative drainage is the key to the prevention of complications after operation.关键词
胰腺损伤/外科手术/损伤控制Key words
pancreatic injury/surgery/damage control分类
医药卫生引用本文复制引用
李盈,陈永亮,严力,刘志伟,冯建..60例创伤性胰腺损伤的临床诊治分析[J].解放军医学院学报,2013,(11):1152-1154,3.
