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十二指肠损伤诊治35例

Diagnosis and Treatment of 35 Cases of Duodenal Injury

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【作者】 向毅杜成华张永川肖春明郭小川罗桂林

【Author】 XIANG Yi,DU Cheng-hua,ZHANG Yong-chuan,et al.Department of General Surgery,The Fourth People’s Hospital of Sichuan Province,Chengdu 610016,Sichuan Province,China.

【机构】 四川省第四人民医院达州市中心医院

【摘要】 目的探讨十二指肠损伤的诊治策略。方法对2004-09/2010-01收治的35例十二指肠损伤病例的临床资料进行回顾性分析。结果术前确诊13例(37.14%),术中确诊19例(54.28%),漏诊3例(8.57%);治愈31例(88.57%),死亡4例(11.42%);并发十二指肠瘘11例(31.43%)。结论掌握好探查指征,早期诊断、及时手术,选择恰当的术式是提高治愈率的关键。

【Abstract】 Objective To investigate the management of duodenal injury cases.Methods The retrospective analysis of 35 cases of duodenal injury from September in 2004 to January in 2010 was conducted.Results Thirteen cases(37.14 %) were diagnosed before operation,19(54.28%) were diagnosed by operation and 3 were missed to diagnose(8.57 %).Thirty one cases(88.57%) were cured,4 died(11.42 %),and 11 complicated with duodenal fistula(31.43 %).Conclusion Early diagnosis and proper surgical procedure are important to increase the cure rate of duodenal injury.

【关键词】 十二指肠损伤外科手术肠瘘
【Key words】 DuodenumInjurySurgeryIntestinal fistula
  • 【文献出处】 职业卫生与病伤 ,Journal of Occupational Health and Damage , 编辑部邮箱 ,2010年04期
  • 【分类号】R656.64
  • 【被引频次】3
  • 【下载频次】24
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