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十二指肠损伤18例诊治体会
引用本文:许贵存,王勇,李得溪. 十二指肠损伤18例诊治体会[J]. 医学综述, 2011, 17(6): 954-955
作者姓名:许贵存  王勇  李得溪
作者单位:内蒙古医学院附属医院急救中心外科,呼和浩特,010050
基金项目:内蒙古自治区高等学校科学研究项目
摘    要:
目的总结十二指肠损伤18例的诊治体会。方法回顾性分析18例十二指肠损伤的临床资料。结果 18例患者均行手术治疗,5例为术前诊断(27.8%),术中诊断13例(72.2%)。治愈16例(88.9%),死亡2例(11.1%),多脏器功能衰竭死亡1例(5.6%),感染性休克死亡1例(5.6%)。结论十二指肠损伤术前诊断困难;尽早实施手术,选择恰当的损伤修复方式、缩短手术时间、有效的十二指肠减压和充分的引流是治疗的关键。

关 键 词:十二指肠  损伤  诊断  治疗

Diagnosis and Treatment of Duodenal Injury:A Case Report of 18 Patients
XU Gui-cun,WANG Yong,LI De-xi. Diagnosis and Treatment of Duodenal Injury:A Case Report of 18 Patients[J]. Medical Recapitulate, 2011, 17(6): 954-955
Authors:XU Gui-cun  WANG Yong  LI De-xi
Affiliation:XU Gui-cun,WANG Yong,LI De-xi.(Department of Emergency Surgery,the Affiliated Hospital of Inner Mongolia Medical College,Hohhot 010050,China)
Abstract:
Objective To review the diagnosis and treatment of duodenal injuries in 18 patients.MethodsEighteen patients with duodenal injuries were retrospectively analyzed.ResultsAll the eighteen patients underwent surgical treatment.The preoperative diagnosis was available in five patients(27.8%) whilst intraoperative diagnosis was in 13 patients(72.2%).The injuries healed in 16 patients(88.9%) whereas mortality occurred in two patients(11.1%),including one due to multiple organ dysfunction syndrome(5.6%) and one du...
Keywords:Duodenum  Injury  Diagnosis  Treatment  
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