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胰腺损伤的外科治疗
引用本文:姚英民,薛小飞,郭成,杨威,刘青光. 胰腺损伤的外科治疗[J]. 肝胆外科杂志, 2007, 15(6): 442-444
作者姓名:姚英民  薛小飞  郭成  杨威  刘青光
作者单位:1. 西安交通大学医学院第一附属医院,西安,710061
2. 陕西省蒲城县人民医院
摘    要:目的探讨胰胰损伤的诊治经验。方法对我院近5年来收治的15例胰腺损伤的病例资料进行回顾性总结分析。结果15例患者中车祸12例,上腹部直接暴力伤3例。保守治疗3例,2例治愈,1例行二期手术;其余12例均行外科手术治疗。无死亡病例。结论上腹部挤压伤与直接暴力伤是胰腺损伤的常见原因,及时行胰腺B超及CT检查可以早期明确诊断,选择合理的方法与及时处理可以有效的减少并发症,提高胰腺损伤的疗效。

关 键 词:胰腺损伤  早期诊断  手术治疗
文章编号:1006-4761(2007)06-0442-03
修稿时间:2007-10-01

THE SURGICAL TREATMENT OF PANCREATIC INJURY
YAO Ying-min,XUE Xiao-fei,GUO Cheng,et al.. THE SURGICAL TREATMENT OF PANCREATIC INJURY[J]. Journal of Hepatobiliary Surgery, 2007, 15(6): 442-444
Authors:YAO Ying-min  XUE Xiao-fei  GUO Cheng  et al.
Affiliation:YAO Ying-min,XUE Xiao-fei,GUO Cheng,et al.Hepatobiliary department of First Hospital,Xi'an Jiaotong University,Xi'an 710061,China
Abstract:Objective To study the experience of diagnosis and treatment of pancreatic injury.Methods A retrospective analysis was made on the clinical data of 15 pancreatic injury cases treated in our hospital in the past 5 years.Results 12 cases of traffic accidents,3 cases of direct violence wound of upper abdomen.There is no death case.Among the 15 cases,3 cases were treated with nonoperative management,of which 2 cases were cured and 1 case was accepted two stage procedure;the other 12 cases were treated with operation.Conclusion Epigastric crush injury and direct violence are important in pancreatic injury,B-type ultrasonography and CT examination have the certain significance in early diagnosis;choosing reasonable treatments promptly can reduce complication effectively and improve the curative effect of pancreatic injury.
Keywords:Pancreatic injury  early diagnosis  operation treatment
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