胰腺损伤38例诊治体会  

Diagnosis and Therapeutic Experience in 38 Cases Pancreas Trauma

作　　者：马运平[1] 

机构地区：[1]运城市人民医院,山西运城044000

出　　处：《实用医技杂志》2005年第12A期3488-3489,共2页Journal of Practical Medical Techniques

摘　　要：目的:结合本组资料及近来的观点,阐述胰腺损伤的诊断与手术处理。方法:回顾性分析38例胰腺损伤的临床资料。结果:32例治愈,死亡6例,死亡率15.6%,其中3例死于呼吸衰竭或MSOF。发生胰瘘、肠瘘在内的各种并发症11例。结论:目前对胰腺损伤仍缺乏特异性诊断方法,关键要保持警惕,综合判断。按损伤类型及胰腺损伤情况,选择适当的术式,以提高治愈率,减少并发症。Objective The diagnosis and treatment of pancreatic injury have been introduced by the experience from these data and the view on it in recent years. Methods The author conducted a retrospective chart review of documented pancreatic in jury 38 cases. Results 32 cases is recovery. There were 6 deaths ,which included 3 died from breathe failure or MSOF. There were 11 complications, which included fistula and peritoneal infection. Conclusion These data showed a lack of specific diagnostic methods to pancreatic injury. It was the key for us to alert pancreatic injury in diagnosis and judge in synthetical. We should approach pancreatic injury according to the classification and the condition of the injuryand choose a proper operation method in order to improve the survival rate and diminish the complications.

关 键 词：胰腺损伤 诊断 治疗方法 并发症 

分 类 号：R657.5[医药卫生—外科学]