外伤性十二指肠损伤的外科诊断与治疗分析  

An analysis of surgical diagnosis and treatment experience of traumatic duodenal injury

作　　者：牟云川 黄世华 翟勋 

机构地区：[1]云南省昭通市第一人民医院,云南昭通657000

出　　处：《中国医药科学》2016年第2期130-132,142,共4页China Medicine And Pharmacy

摘　　要：目的探讨外伤性十二指肠损伤的外科诊断并总结治疗经验。方法选取2010年5月~2015年5月42例外伤性十二指肠损伤患者,对患者的临床资料采用回顾性的分析方法研究。结果在收治的42例外伤性十二指肠损伤患者中,40例治愈,2例死亡,死亡率为4.76%。结论对外伤性十二指肠损伤患者进行早期诊断和有效及时的手术对患者的治疗起着举足轻重的作用,手术中仔细检查和全面探查,尽早的诊断、尽早的治疗是提高其临床疗效的关键所在。通常对十二指肠损伤修补和对十二指肠憩室化进行改进,是目前我们首选的方法之一。选择合适的手术方式才能降低死亡率,使并发症的概率也相应减小到最低。Objective To investigate the experience of surgical diagnosis and treatment of traumatic duodenal injuries. Methods 42 cases of traumatic duodenal injury patients in our hospital from May 2013 to May 2013 were selected,the clinical data of patients were retrospectively analyzed and observed. Results In all cases of traumatic duodenal injuries patients,40 patients were cured and 2 patients died unfortunately,the mortality rate was 4.76%. Conclusion Early diagnosis and effective and timely surgery are good for traumatic duodenal injuries patients,which plays an important role in the treatment of patients,intraoperative careful inspection and comprehensive detection,early diagnosis,early treatment are the key to improve the clinical curative effect.Usually,repairing the duodenum injury and improving for duodenal diverticulum are one of our preferred methods.Choosing the right operation method can reduce the mortality rate and reduce the probability of complications and corresponding to the minimum.

关 键 词：外伤性十二指肠损伤 治疗体会 外科治疗 

分 类 号：R656.64[医药卫生—外科学]