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| 十二指肠损伤的诊治体会(附42例分析) | |
| 引用本文： | 姚学清,刘颖,黄祥成,钟世镇. 十二指肠损伤的诊治体会(附42例分析)[J]. 中国现代普通外科进展, 2002, 5(4): 239-241 |
| 作者姓名： | 姚学清 刘颖 黄祥成 钟世镇 |
| 作者单位： | 1. 第一军医大学附属南方医院普外科,广东,广州,510515 2. 解放军404医院,山东,威海,264200 3. 第一军医大学解剖研究所,广东,广州,510515 |
| 基金项目： | 全军重点科研课题基金资助项目 (96z0 2 4)，广东省科技攻关项目科研基金资助项目 (99B0 670 3G) |
| 摘 要： | 目的：提高十二指肠损伤的诊治水平。方法：回顾性分析1990年1月至2001年12月收治的42例十二指肠损伤的患诊治体会。结果：十二指肠损伤42例中，行剖腹探查36例，死亡5例；行保守治疗6例，死亡2例。结论：十二指肠损伤救治工作中应遵循抢救诊断和治疗并重的原则。伤口探查、腹腔穿刺、超声检查、腹部平片对诊断有重要参考价值。有手术指征应立即急诊手术，无手术指征的病人应留院或住院观察，以防有迟发临床表现而耽误诊治。 |
| 关 键 词： | 十二指肠损伤 诊断 治疗 临床表现 病例分析 |
| 文章编号： | 1009-9905(2002)04-0239-03 |
| 修稿时间： | 2002-08-09 |
Diagnosis and treatment of duodenal injury |
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| YAO Xue qing,LIU Ying,HUANG Xiang cheng,ZHONG Shi zhen. Diagnosis and treatment of duodenal injury[J]. Chinese Journal of Current Advances in General Surgery, 2002, 5(4): 239-241 | |
| Authors: | YAO Xue qing LIU Ying HUANG Xiang cheng ZHONG Shi zhen |
| Affiliation: | YAO Xue qing,2LIU Ying,1HUANG Xiang cheng,3ZHONG Shi zhen 1Department of General Surgery,Nanfang Hospital,The First Military Medical University |
| Abstract: | Objective:To improve the level of diagnosis and treatment of the injury in the duodenum. Methods:Forty two cases which were treated from Jan. 1990 to Dec. 2001 were reviewed.Results:Among 36 cases who underwent the exploration,5 cases died.Among 6 cases who underwent conservative treatment,2 cases died.Conclusion:The condition of the injury in the duodenum is very complicated,it is easy to be misdiagnosed,the mortality is high.Saving should be equaled with the diagnosis and treatment.The application of wound exploration,abdominal puncture,ultrasound examination and X ray checking is valuable to the diagnosis.The patient with operation indication should be operated at once,while the others should be observed for some time to prevent the delayed clinical manifestation. |
| Keywords: | Duodenum Wounds and Injuries |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |