摘要
Abstract
Objective To summarize the clinical experiences of diagnosis and treatment of severe postoperative com-plications of traumatic pancreatitis. Methods Between March 2009 and December 2012, 8 patients with pancreatic injury undergoing operations in other hospitals were referred to our hospital because of severe complications such as severe celiac in-fection, bleeding, and pancreatic fistula, intestinal fistula, etc. The clinical data were retrospectively analyzed. Results 8 cases were complicated with pancreatic fistula and abdomen severe infection, 4 cases with abdomen wound disruption, 3 cases with peritoneal cavity hemorrhea, 1 case with gastric fistula, duodenal fistula, and common bile duct fistula, 1 case with high position-enteric fistula. The type of intervention procedures of 8 patients were as follows:1 case of laparotomy, splenectomy and resection of pancreatic body and tail, 1 case of gastrostomy and placement of jejunum nutrition tube, 2 cases of DSA guided left hepatic artery and splenic artery embolism, 2 cases of bilateral retroperitoneal abscess debridement and drainage, 5 cases of replacement of double-cannula drainage with continuous suction. All the patients were cured with no mortality. The hospital stay was 12-79 days. Colonic fistula occurred in 1 patient and healed naturally. Conclusion The key points of suc-cessful treatment include accurate assessment of the patient's condition, appropriate surgical intervention as soon and as mini-invasive as possible, emphasis on enteral nutrition and maintenance of host immunity, unobstructed intraperitoneal drainage and minimal use of anti-infection drugs.关键词
胰腺/创伤和损伤/并发症/出血/感染Key words
Pancreatitis/Wound and injury/Complication/Bleeding/Infection分类
医药卫生
