十二指肠损伤的诊断和外科治疗—附22例报告  

Diagnosis and treatment of duodenal injury （A report of 22 Cases）.

作　　者：来全忠[1] 姬雪梅[1] 张远娴 

机构地区：[1]广东省惠州市第四人民医院普外科,516055

出　　处：《中国保健营养（临床医学学刊）》2009年第2期1-3,共3页China Health Care Nutrtion

摘　　要：目的探讨外伤性十二指肠损伤的处理及影响预后的因素。方法回顾性分析22例十二指肠损伤患者的外科手术治疗方式。结果22例十二指肠损伤患者中18例为腹部多发伤，全部病例均手术治疗，术中并发症发生率为36．4％，治愈19例（86．4％），死亡率13．6％。十二指肠瘘是主要并发症。结论简单而合理的手术方式是治疗十二指肠损伤的重要措施。早期手术，有效的十二指肠减压和术后肠外营养是影响预后的主要因素。Objective To investigate the Prognostic factors and managements of the duodenal trauma. Methods The clinical materials of 22 Patients with duodenal injury were analyzed retrospectively. Results 18 Patients were Complicated by additional injuries in other organs. All Patients were treated by Operation. The freguency of the Postoperative Complications was 36.4%, 19 Cases （86.4%） were Cured. and the mortality was 13.6%. Duodenal fistula was the main Complication. Conclusion Simple and reasonable surgical Procedure is very important for duodenal trauma. Eaely operation, effective decompression of the duodenum and Postoperative Parenteral nutrition are the major Prognostic factors.

关 键 词：十二指肠损伤 外科手术 肠瘘 

分 类 号：R656.6[医药卫生—外科学]