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闭合性胰腺损伤的诊断和治疗

Diagnosis and treatment of closed pancreatic trauma

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【作者】 郑士友王振杰蒋昭林

【Author】 ZHENG Shi you,WANG Zhen jie,JIANG Zhao lin (Department of Emergency Surgery,Affiliated Hospital of Bengbu Medical College,Anhui 233004 ,China)

【机构】 蚌埠医学院附属医院急诊外科!安徽蚌埠233004安徽省亳州市人民医院外科!236803

【摘要】 目的 :提高胰腺损伤的诊治水平。方法 :回顾性总结胰腺损伤 2 8例 ,按美国创伤外科学会提出的胰腺损伤分级标准 :Ⅰ级 10例 ,Ⅱ级 8例 ,Ⅲ级 4例 ,Ⅳ级 4例 ,Ⅴ级 2例。均进行手术治疗。结果 :术前诊断为胰腺损伤仅 6例 ,占 2 1.5 %。治愈2 4例 ,死亡 4例 ,病死率 14.3 %。结论 :对胰腺损伤早期诊断、早期治疗、选择合理的术式 ,可降低其并发症和病死率

【Abstract】 Objective:To elevate the ability to diagnose and manage the pancreatic trauma.Methods:Twenty eight cases of pancreatic trauma were reviewed retrospectively.According to AAST 10 cases were of Grade Ⅰ,8 of Grade Ⅱ,4 of Grade Ⅲ,4 of Grade Ⅳ and 2 of Grade Ⅴ.All patients were treated with surgery.Results:Preoperative diagnosis was made in only 6 cases(21.5%).Postoperative death occurred in 4 cases with a mortality of 14.3%.Conclusions:Early diagnosis,prompt treatment and rational operation can decrease the complications and mortality of pancreative trauma.

【关键词】 挫伤胰腺疾病/外科手术诊断
【Key words】 contusionpancreatic diseases/surgerydiagnosis
  • 【文献出处】 蚌埠医学院学报 ,Journal of Bengbu Medicinae College , 编辑部邮箱 ,2001年04期
  • 【分类号】R657.5
  • 【被引频次】2
  • 【下载频次】17
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