26例胰腺损伤的诊治体会  

Diagnosis and Treatment of Pancreatic Injury:Experience with 26 Cases

作　　者：郑林辉[1] 陈海鸣[1] 

机构地区：[1]南昌大学第一附属医院急诊外科,南昌330006

出　　处：《实用临床医学（江西）》2017年第8期42-44,67,共4页Practical Clinical Medicine

摘　　要：目的分析胰腺外伤的诊断要点,合理选择治疗方式,提高胰腺外伤的治愈率。方法回顾性分析2009年1月至2016年12月26例胰腺外伤患者的临床资料。14例症状较轻者行保守治疗;12例有手术指征者行手术治疗。结果 26例患者,治愈25例,转院1例。4例出现并发症:胰腺假性囊肿1例,行胰腺假性囊肿空肠侧侧吻合内引流术治愈;胰周积液1例,经B超下定位穿刺引流术好转;胰瘘2例,经腹腔穿刺置管引流术后好转。结论对胰腺外伤患者,根据胰腺的损伤部位和程度,合理选择个体化的手术方式和时机,可提高抢救成功率,减少并发症。Objective To analyze the diagnosis of pancreatic trauma and choice of treatment for improving the cure rate of pancreatic trauma.Methods Clinical data of 26 pancreatic trauma patients treated from January 2009 to December 2016（14 patients with mild symptoms underwent conservative treatment and 12 patients with surgical indications underwent surgical treatment）were analyzed retrospectively.Results Of the 26 patients,25 were cured,and 1 was transferred to another hospital.One patient had pancreatic pseudocyst,which was cured by cyst-jejunal anastomosis.One patient had peripancreatic effusion,which was improved by ultrasound-guided puncture.Two patients had pancreatic fistula,which was improved by transabdominal catheter drainage.Conclusion The reasonable choice of individualized surgery and timing can increase the rescue success rate and reduce the complications in patients with pancreatic trauma.

关 键 词：胰腺 腹部损伤 诊断 治疗 

分 类 号：R657.5[医药卫生—外科学]