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外伤性十二指肠损伤的诊治体会
引用本文:韩伟,孟凡亭,秦军,曹玉军. 外伤性十二指肠损伤的诊治体会[J]. 山东医学高等专科学校学报, 2004, 26(4): 243-244
作者姓名:韩伟  孟凡亭  秦军  曹玉军
作者单位:临沂医专附属临沂市人民医院,临沂,276003;临沂医学专科学校
摘    要:目的总结十二指肠损伤的诊治经验。方法回顾性分析36例十二指肠损伤的临床诊治资料。结果治愈29例,死亡7例。死亡原因为十二指肠瘘、失血性休克、腹腔脓肿及多器官功能衰竭。十二指肠瘘和腹腔内脓肿是主要并发症。结论十二指肠损伤术前确诊率低,早期剖腹手术、抗感染及营养疗法是降低并发症和死亡率的关键。

关 键 词:外伤  十二指肠  诊断  治疗
文章编号:1001-5426(2004)04-0243-02
修稿时间:2004-03-10

THE DIAGNOSIS AND TREATMENT OF TRAUMATIC DUODENAL INJURY
HAN Wei,MENG Fan-ting,QIN Jun,et al. THE DIAGNOSIS AND TREATMENT OF TRAUMATIC DUODENAL INJURY[J]. Journal of Shandong Medical College, 2004, 26(4): 243-244
Authors:HAN Wei  MENG Fan-ting  QIN Jun  et al
Abstract:Objective To summarize the experience of diagnosing and treating traumatic duodenal injury.Methods The clinical literature of the diagnosis and treatment of 36 cases of traumatic duodenal injury was retrospectively analyzed here.Results 29 cases recovered and 7 died.The death reasons were duodenal fistula,the injury and function failure of numerous organs.Duodenal fistula and abdominal abscess were the major complications.Conclusion The rate of confirmed diagnosis is quite low,and early laparotomy,anti-infection and surgical nutrition are the key factors to reducing death rates and its complications.
Keywords:Trauma  Duodenum  Diagnosis  Treatment
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