胰腺损伤的诊断与治疗

病史、临床表现和影像学检查是早期诊断胰腺损伤的主要方法,血清淀粉酶检测在胰腺损伤诊断中作用不确定.不能忽视剖腹探查在诊断胰腺损伤的作用,尤其是急诊行剖腹探查的创伤患者.胰腺损伤的分级在其诊断与治疗间起着桥梁作用.目前使用最广泛的是美国创伤外科学会-器官损伤分级（AAST-OIS）.手术治疗是治疗胰腺损伤的重要方法,应遵循损伤控制和分级手术的原则.近年来,微创外科技术在胰腺损伤的诊断与治疗中发挥了一定作用.

Diagnosis and treatment of pancreatic trauma

Health history,clinical syndrome and imaging examination are key factors for early diagnosis of pancreatic trauma,while the effects of the test of the serum amylase for the diagnosis of pancreatic trauma remain unclear.Laparotomy plays an important role in the diagnosis of pancreatic trauma for patients,particularly urgent patients.The grading of pancreatic trauma functions as a bridge between the diagnosis and treatment of the pancreatic trauma.So far,the organ injury scale grading system proposed by the American Association for the Surgery of Trauma （AAST-OIS） provides guidelines for operative versus nonoperative management in solid organ injuries.Surgery is an important treatment method for pancreatic trauma according to injury control and surgical procedures grading principles.Recently,minimally invasive surgery has been involved in the diagnosis and treatment of the pancreatic trauma.