创伤性胰腺断裂诊疗体会  

Experience of Treatment of Traumatic Pancreatic Rupture

作　　者：郑德玺 张萍 

机构地区：[1]河南省郸城县人民医院,郸城县477150

出　　处：《医药论坛杂志》2010年第19期91-92,共2页Journal of Medical Forum

摘　　要：目的探讨创伤性胰腺断裂的早期明确诊断、及时正确治疗,提高此病的治愈率,减少死亡率。方法回顾性分析38例创伤性胰腺断裂的诊断与治疗的临床资料,其中3例行胰十二指肠切除术,20例行胰腺部分切除术,5例行胰腺空肠Roux-Y吻合术,其他病例均行胰腺清创、缝合术。所有病例均放置腹腔引流管,最少1根,最多者放置6根。结果死亡1例,死亡率2.6%。形成假性胰腺囊肿2例,另有6例延迟拔管至3～6个月,余均为7～15d拔管,痊愈出院。结论早诊断、早治疗及正确的选择手术方式,以及术后的综合治疗,明显提高此病的治愈率,减少死亡率。Objective To study the early traumatic pancreatic rupture diagnosis, proper treatment in time to improve the cure rate of the disease and reduce mortality. Methods Retrospective analysis of clinical data of 38 cases of traumatic rupture of pancreatic diagnosis and treatment, including three routine pancreaticoduodenectomy, 20 cases routine pancreatic part resection, 5 cases of pancreatic jejunal Roux -Y anastomosis, the other patients underwent pancreatic debridement and suturing. All patients were placed abdominal drainage tube, at least one up to those who placed 6. Results 1 died, the mortality rate 2. 6%. 2 cases of pancreatic pseudocyst formation, and another six cases of delayed extubation to 3 -6month, the rest was 7 - 15 days to extubation, discharged. Conclusion Early diagnosis and surgical treatment and the right choice approach and postoperative comprehensive treatment can markedly increase the cure rate of the disease and reduce mortality.

关 键 词：胰腺断裂 诊断与治疗 腹腔引流管 

分 类 号：R657.5[医药卫生—外科学]