闭合性胰腺损伤的诊断和外科治疗  

Diagnosis and surgical treatment of blunt pancreatic trauma

作　　者：曾锦生[1] 吴安涛[1] 李勇[1] 蔡军[1] 余永欢[1] 方宁国[1] 

机构地区：[1]南昌大学第一附属医院普外科,江西南昌330006

出　　处：《中国现代医学杂志》2012年第18期80-82,共3页China Journal of Modern Medicine

摘　　要：目的总结闭合性胰腺损伤的诊断和治疗经验。方法对我院2002年12月～2010年9月收治的36例闭合性胰腺损伤的临床资料进行回顾性分析。结果胰腺损伤情况,按美国创伤外科学会(AAST)胰腺损伤分级,Ⅰ级7例,Ⅱ级15例,Ⅲ级9例,Ⅳ级5例,无Ⅴ级病例。胰腺损伤术前诊断率40%。23例合并胰腺以外脏器损伤。23例行急诊剖腹探查术,其中17例针对胰腺损伤进行了手术治疗。所有病例均治愈,无死亡病例。结论闭合性胰腺损伤的诊断需综合应用多种手段,外科手术是其主要治疗方法,非手术治疗应慎重。To summarize the experiences of diagnosis and surgical therapeutic strategies of blunt pancreatic trauma. [ Methods ] The clinical data of 36 cases with blunt pancreatic trauma were analyzed retrospec- tively from Dec.2002 to Sept.2010. [Results] According to AAST grading criteria, the results were 7 cases of grade [ , 15 cases of grade I1,9 cases of grade Iil, 5 cases of grade IV, 0 case of grade V. Of 25 cases undergoing surgery, the rate of diagnosis of pancreatic trauma were 40% before operation. 23 cases were suffered from other or- gans trauma at the same time. 23 cases were performed urgent exploratory laparotomy, of these 23 cases, 17 cases were received intervention to aim directly at pancreatic injury. All of the 36 cases were cured and without death cases. [ Conclusion] The diagnosis of pancreatic trauma involve utilization of multiple and tech- niques. Surgery is principal therapeutics measure of pancreatic trauma, conservative therapy with avoidance of urgent laparotomy should be applied circumspectly.

关 键 词：胰腺损伤 诊断 手术 

分 类 号：R576[医药卫生—消化系统]