外伤性十二指肠瘘的治疗  

The treatment experience of traumatic duodenal fistula

作　　者：徐建军[1] 黎介寿[2] 荀宁军[1] 

机构地区：[1]解放军第455医院,上海200052 [2]解放军南京总医院,南京210002

出　　处：《东南国防医药》2003年第4期241-243,共3页Military Medical Journal of Southeast China

摘　　要：目的　提高外伤性十二指肠瘘的治疗水平。方法　回顾性总结南京总医院 1 983年～ 2 0 0 1年收治的 95例外伤性十二指肠瘘的治疗经验。结果　外伤性十二指肠瘘的治愈率为 88 4% ,死亡率为 1 1 6 % ,疗效明显优于文献报告。结论　有效的肠内减压及肠外引流 ,控制感染 ,维持内稳态平衡 ,维护重要器官功能 ,合理的营养支持 ,选择性的手术治疗 ,可明显提高外伤性十二指肠瘘的治愈率。Objective To improve the result of treatment in patients suffering from traumatic duodenal fistula. Methods Clinical experience was summarized on 95 cases of traumatic duodenal fistula hospitalized at Nanjing General hospital of PLA between 1983 and 2001. Results The cure rate of traumatic duodenal fistula was 88.4% and the mortality rate 11.6%. And the curative effect is definitely better than what was reported in document. Conclusions Curative rate can be significantly improved through effective drainage and decompression of the duodenum, infection control, maintenance of balanced internal environment and function of mortal organs, reasonable nutritional support, and treatment with selective operation.

关 键 词：十二指肠损伤 十二指肠肠瘘 治疗 

分 类 号：R656.6+2[医药卫生—外科学]