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腹膜后十二指肠伤诊治体会
引用本文:董少良,张诚华,姚清勇,陈一杰. 腹膜后十二指肠伤诊治体会[J]. 临床军医杂志, 2002, 30(5): 57-59
作者姓名:董少良  张诚华  姚清勇  陈一杰
作者单位:解放军第180医院,普外科,福建,泉州,362000;解放军第180医院,普外科,福建,泉州,362000;解放军第180医院,普外科,福建,泉州,362000;解放军第180医院,普外科,福建,泉州,362000
摘    要:目的 探讨腹膜后十二指肠伤的早期诊断与手术方法。方法 对我院 1992年 1月— 2 0 0 2年 1月收治的 12例腹膜后十二指肠伤进行回顾性分析。结果 术前获诊断 2例 ,8例出现腹膜炎表现 ,2例为腹腔内出血表现 ,本组均手术治疗 ,采用彻底清创、无张力修补、充分肠腔内减压、空肠造瘘和通畅的腹腔外引流 ,11例治愈 ,死亡 1例。结论 早期诊断和合理的手术可减少腹膜后十二指肠伤的并发症和死亡率

关 键 词:十二指肠伤  腹膜后  诊断  手术治疗
文章编号:1671-3826(2002)05-0057-02
修稿时间:2002-07-04

Understanding of the Diagnosis and Treatment of Retroperitoneal Duodenal Wound
DONG Shao liang,ZHANG Cheng hua,YAO Qing yong,CHEN Yi jie. Understanding of the Diagnosis and Treatment of Retroperitoneal Duodenal Wound[J]. Clinical Journal of Medical Officer, 2002, 30(5): 57-59
Authors:DONG Shao liang  ZHANG Cheng hua  YAO Qing yong  CHEN Yi jie
Abstract:Objective To probe the early diagnosis and operative method of retroperitoneal duoderal wound Methods A retrospective analysis of 12 cases with retroperitoneal duodenal wound treated in our hospital from Jan 1992 to Jan 2002 was made Results 2 cases was diagnosed before operation 2 cases had the manifestation of intraperitoneal hemorrhage 8 cases had the manifestation of peritonitis THis group of patients were all treated with operation 11 cases were cured and one case was clead Conclusion Early diagnosis and reasonable operation could decrease the complications and mortality of retroperitoneal duodenal wound
Keywords:duodenal wound  retroperitoneal  diagnosis  operative treatment
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