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闭合性胰腺损伤的诊断和治疗
引用本文:郑士友,蒋昭林,JIANG Zhao-lin. 闭合性胰腺损伤的诊断和治疗[J]. 蚌埠医学院学报, 2001, 26(4): 296-298
作者姓名:郑士友  蒋昭林  JIANG Zhao-lin
作者单位:蚌埠医学院附属医院急诊外科,;安徽省亳州市人民医院外科,;Department of Emergency Surgery,Affiliated Hospital of Bengbu Medical College,
摘    要:目的:提高胰腺损伤的诊治水平。方法:回顾性总结胰腺损伤28例,按美国创伤外科学会提出的胰腺损伤分级标准:Ⅰ级10例,Ⅱ级8例,Ⅲ级4例,Ⅳ级4例,V级2例。均进行手术治疗。结果:术前诊断为胰腺损伤仅6例,占21.5%。治愈24例,死亡4例,病死率14.3%。结论:对胰腺损伤早期诊断、早期治疗、选择合理的术式,可降低其并发症和病死率。

关 键 词:挫伤  胰腺疾病/外科手术  诊断
文章编号:1000-2200(2001)04-0296-03
修稿时间:2000-09-20

Diagnosis and treatment of closed pancreatic trauma
ZHENG Shi-you,WANG Zhen-jie,JIANG Zhao-lin. Diagnosis and treatment of closed pancreatic trauma[J]. Journal of Bengbu Medical College, 2001, 26(4): 296-298
Authors:ZHENG Shi-you  WANG Zhen-jie  JIANG Zhao-lin
Abstract:Objective:To elevate the ability to diagnose and manage the pancreatic trauma.Methods:Twenty-eight cases of pancreatic trauma were reviewed retro spectively. According to AAST 10 cases were of Grade Ⅰ,8 of Grade Ⅱ,4 of Grade Ⅲ,4 of Gra de Ⅳ and 2 of Grade Ⅴ.All patients were treated with surgery.Results:Preoperative diagnosis was made in only 6 cases(21.5%).Posto perative death occurred in 4 cases with a mortality of 14.3%.Conclusions:Early diagnosis,prompt treatment and rational operation can decrease the complications and mortality of pancreative trauma.
Keywords:contusion  pancreatic diseases/surgery  diagnosis
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