钝性腹部创伤致十二指肠损伤22例诊治分析  

Diagnosis and Treatment of 22 patients with Traumatic Blunt Duodenal Injury

作　　者：孙士锦[1] 王韬[1] 李英才[1] 谭浩[1] 张连阳[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所全军战创伤中心,创伤,烧伤与复合伤国家重点实验室,重庆400042

出　　处：《解放军医药杂志》2013年第7期13-15,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：国家科技支撑计划(2012BAI11B01);全军后勤科研计划重点项目(BWS11J038);全军十二五项目(DWS12J033)

摘　　要：目的探讨钝性腹部创伤致十二指肠损伤的诊治方法。方法回顾性分析2007年5月—2013年1月收治的22例钝性腹部创伤致十二指肠损伤患者的临床资料。结果本组术前确诊9例(40.91%),术中确诊13例(59.09%);经均手术治愈;发生并发症6例(27.27%),其中十二指肠瘘是主要的并发症。结论早期诊断、及时和适当手术是钝性腹部创伤致十二指肠损伤救治成功的关键,预防性应用负压封闭引流可减少并发症的发生。Objective To explore the diagnosis and treatment of traumatic blunt duodenal injury.Methods Clinical data of 22 patients with traumatic blunt duodenal injury during May 2007 and January 2013 was retrospectively analyzed.Results Among the 22 patients,9 patients（40.91%） were preoperatively finally diagnosed,and 13 patients（59.09%） were finally diagnosed during operation;All the patients were cured by surgeries;Complications occurred in 6 patients（27.27%）,and duodenal fistula was the main complication.Conclusion Early diagnosis and appropriate operation are keys for successful treatment of traumatic duodenal injury.Prophylactic vacuum sealing drainage（VSD） can reduce incidence rate of complications.

关 键 词：十二指肠 创伤和损伤 外科手术 引流术 

分 类 号：R641[医药卫生—外科学]