十二指肠损伤并发瘘诊断及治疗  

Diagnosis and treatment of duodenal injury combined with fistula

作　　者：黄骞[1] 朱维铭[1] 

机构地区：[1]南京军区南京总医院普通外科,江苏南京210002

出　　处：《中国实用外科杂志》2015年第3期272-274,共3页Chinese Journal of Practical Surgery

摘　　要：十二指肠损伤并发瘘多为腹部手术后并发症,是当前普外科疾病中处理比较棘手的一种疾病。术中及时发现十二指肠损伤是预防十二指肠瘘的关键。怀疑可能有十二指肠损伤并发瘘的病人应及时行相应影像学检测明确诊断。治疗上应采取包括内稳态的维持,感染的控制及营养支持等在内的多项综合治疗措施。内镜下治疗及应用生物材料封堵是未来十二指肠瘘治疗的方向。Duodenal injury complicated fistula, a complication after abdominal surgery, is one of the most difficult clinical problem in general surgery. The key to prevent the duodenal fistula is to detect the duodenal injuryduring surgery. Suspected patients with duodenal injury complicated fistula should be timely detected by imaging diagnosis. A bundle therapy including maintain homeostasis,control infection and nutrition support should be considered.Endoscopic therapy and biomaterials-assisted fistula closure are the future direction of treatment.

关 键 词：损伤控制外科 十二指肠损伤 瘘 

分 类 号：R6[医药卫生—外科学]