【摘要】 目的探讨和总结创伤性胰腺炎的分类、特点、诊断与治疗方法。方法回顾性分析13例创伤性胰腺炎病例的诊断、外科治疗情况及治疗效果,总结创伤性胰腺炎的发病机制、临床特点及治疗经验。结果13例创伤性胰腺炎中非手术治疗10例,手术治疗3例;预后:治愈10例,好转2例,死亡1例。结论创伤性胰腺炎临床表现复杂多样,详细的追溯病史、细致的临床观察、影像学检查等有助于早期诊断。治疗应根据创伤的性质、胰腺及合并脏器损伤的具体情况,以及患者的一般状况选择个体化的治疗方案。随着介入穿刺技术的发展,通过穿刺置管,充分、有效的腹腔引流及冲洗,结合抗感染、抑制胰液分泌、改善胰腺微循环及肠外营养支持治疗等措施,绝大多数创伤性胰腺炎可通过以非手术治疗为主的综合治疗而治愈。更多还原

【Abstract】 Objective To discuss and summarize the classification and characteristic of traumatic pancreatitis,and to investigate the methods of its diagnosis and treatment.Methods We collected 13 traumatic pancreatitis cases post treatment.Retrospective analysis of the methods of diagnosis and treatment were made.Results 10 patients were treated by conservative treatment,and the other 3 patients were treated by operation treatment.Their prognoses were 10 patients cured,2 patients improved,and 1 patient dead.Conclusion The clinical manifestations of traumatic pancreatitis are complicated.So the medical history needs tracing back and symptom needs observing carefully.And the iconography exams are useful for the early diagnosis.Individuation therapeutic regimen should be formulated for every patient.With the development of interventional technology,the drainage tube can be accurately placed into the abdomen and drainage and wash of the focus of infection can be done effectively.Most traumatic pancreatitis patients can be cured by non-operation treatment which includes interventional technology,antibiotic,somatostatin,improving pancreas microcirculation,and parenteral alimentation.更多还原