50例胰腺损伤的临床分析  

Clinical Analysis in Fifty Patients of Pancreatic Trauma

作　　者：陈吉祥[1] 党胜春[1] 黄润生[1] 张建新[1] 程国祚[1] 

机构地区：[1]江苏大学附属医院普外科,江苏镇江212001

出　　处：《江苏大学学报（医学版）》2003年第1期15-16,共2页Journal of Jiangsu University：Medicine Edition

摘　　要：目的 :探讨胰腺损伤的诊断、术中处理、术后并发症的治疗。方法 :分析 5 0例胰腺损伤患者的诊断 ,并按AAST伤性分类 ,采用不同的术式 ,对术后远期出血、胰瘘并发症采用保守治疗。结果 :42例痊愈 ,8例死亡。 4例并发远期腹腔出血 ,4例并发胰瘘患者痊愈。结论 :腹腔、血清淀粉酶的升高是诊断胰腺损伤较直接的方法 ,B超、CT、磁共振成像 (MRI)检查有重要意义 ,按胰腺损伤程度、部位采取不同的术式 ,对远期并发腹腔出血、胰瘘患者采用保守治疗使患者获得痊愈。Objective:To disuss the current knowledge of pancreatic injury,the diagnosis,operative methods and treatment of postoperative complications.Methods:Analyze the diagnoses of fifty patients classified from AAST standard. Adopting different operations and conservative treatments in postoperative peritoneal cavity bleeding and pancreatic fistulas.Results:42 patients were recovered, but 8 patients died.Among them 4 patients complicated with delayed peritoneal cavity bleeding and 4 patients complicated with pancreatic fistulas were recovered. Conclusion:Analysis of peritoneal fluid and serum amlyse is a direct method.B us,CT and MRI are also important methods in diagnosing pancreatic injury.Take different operations according to degrees and regions of pancreatic trauma and deal with conservative treatments in postoperative peritoneal cavity bleeding and pancreatic fistulas to make patients suffering from pancratic trauma recover completely.

关 键 词：胰腺损伤 临床分析 治疗 诊断 

分 类 号：R657.5[医药卫生—外科学]