十二指肠损伤的特点及其诊治  

The Clinical Features of Duodenal Trauma and Its Diagnosis and Treatment

作　　者：周宏[1] 姚路斌[1] 夏加增[1] 

机构地区：[1]江苏省无锡市第二人民医院普外科,江苏无锡214002

出　　处：《中国临床医学》2009年第6期868-869,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:分析十二指肠损伤的特点以提高外科诊治水平。方法:分析2002—2008年收治的十二指肠损伤24例诊治情况。结果:合并其他腹部脏器损伤70.8%(17/24),单纯十二指肠损伤29.2%(7/24)。损伤部位以十二指肠降部为多见,占54.2%(13/24);水平部次之,占25%(6/24)。术中漏诊率为12.5%(3/24)。手术后并发症发生率为33.3%(8/24)。病死率为16.7%(4/24)。结论:掌握十二指肠损伤的特点,注重早期诊断、早期手术,加强术中探查,掌握好探查指征,根据伤情选择合理、恰当的术式,加强术后管理,可提高治愈率。Objective： To improve the efficacy of surgical treatmemt in patients suffering from duodenal injuries. Methods： Clinical experience was summerized on 24 cases of duodenal damage hospitalized at our hospital during recent 6 years. Results： Seventeen （70.8%） cases were complicated by additional other intraabdominal organ injuries. The trauma was mostly often seen on the decending part constituting 54.2%（13/24） ,and on the horizontal part constituting 25% （6/24）. The rate of failure to diagnose intraoperatively is 12.5 % （3/24） ; The postoperative complication rate is 33.3 % （8/24）. The mortality rate is 16.7 （4/24）. Conclusion： Better understanding of the clinical features of the duodenal trauma.early diagnosis and exploration,careful intraoperative inspection, proper surgical management and intensive postoperative care all contribute to the better prognosis in patients with duodenal trauma.

关 键 词：十二指肠疾病 损伤 诊断 外科手术 

分 类 号：R656.64[医药卫生—外科学]