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十二指肠损伤的诊断和治疗
引用本文:阿不都外力·吾守尔,卡哈尔江·阿不都外力,卢喜,迪力旦·纳赛尔. 十二指肠损伤的诊断和治疗[J]. 新疆医科大学学报, 2011, 34(4): 390-392
作者姓名:阿不都外力·吾守尔  卡哈尔江·阿不都外力  卢喜  迪力旦·纳赛尔
作者单位:1. 新疆医科大学第一附属医院,胃肠外科
2. 新疆医科大学第一附属医院,乳腺小儿外科,新疆,乌鲁术齐,830011
摘    要:
目的探讨十二指肠损伤的诊断和治疗特点。方法回顾性分析我院1998年1月~2009年1月收治的20例十二指肠损伤患者的临床特点、诊断和治疗结果。结果本组术前确诊8例(40%),手术漏诊3例(25%)。19例(95.0%)治愈出院,1例(5%)死亡。术后并发症发生率为35%,十二指肠瘘是其主要的并发症。结论掌握十二指肠损伤的临床特点,早期诊断、减少漏诊率是十二指肠损伤成功救治的关键。选择合理的术式,建立有效的减压和引流和控制感染是影响预后的重要因素。

关 键 词:十二指肠  创伤和损伤  外科手术

Diagnosis and treatment of duodenal injury
Affiliation:Abuduwaili·Wushouer,Kahaerjiang·Abuduwail,LU Xi,et al(Department of Gastrointestinal Surgery,First Affiliated Hospital,Xinjiang Medical University,Urumqi 830011,China)
Abstract:
Objective To investigate the characteristics of diagnosis and treatment of duodenal injury.Methods A retrospective study was undertaken for 20 cases with duodenal injury between January 1998 and June 2009.Results 8 cases(40%) got preoperative diagnosis,3 cases were missed(25%) in operation,19(95%) cases recovered and 1(5%) case died of pancreatic fistula or multiple organ failure;the postoperative complication rate was 35%.Duodenal fistula was the main complication.Abdominal CT scan has an immportant value ...
Keywords:duodenal  wounds and injuries  surgery operative  
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