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十二指肠创伤后的临床分析及术式选择
引用本文:奇铁男. 十二指肠创伤后的临床分析及术式选择[J]. 吉林医学, 2007, 28(3): 341-342
作者姓名:奇铁男
作者单位:吉林大学中日联谊医院,吉林长春130031
摘    要:目的:探讨十二指肠创伤后的临床分析及术式选择。方法:对1995年至2005年收治的十二指肠损伤的30例的临床资料进行回顾性分析。结果:术前确诊18例(60%),漏诊12例(40%);治愈29例(96.7%),死亡1例(3.3%);发生并发症8例(26.7%)。十二指肠瘘是主要的并发症。结论:简单而合理的手术方式是治疗十二指肠损伤的重要措施。早期手术,有效的十二指肠减压和术后肠外营养是影响预后的主要因素。

关 键 词:创伤和损伤  十二指肠  肠瘘
文章编号:1004-0412(2007)03-0341-02
收稿时间:2006-01-16
修稿时间:2006-01-16

Clinical analysis and operation selection for the duodenal trauma
QI Tie-nan. Clinical analysis and operation selection for the duodenal trauma[J]. Jilin Medical Journal, 2007, 28(3): 341-342
Authors:QI Tie-nan
Affiliation:China - Japan Union Hospital of Jilin University, Changchun 130031, China
Abstract:Objective To investigate the clinical efficacy and operation selection for the duodenal trauma. Method Clinical data of 30 cases with duodenal trauma from 1995 to 2005 was collected and analyzed retrospectively.Results 18 cases(60%) got preoperative diagnosis,12(40%) got missed diagnosis,29(96.7%) were cured,and 1 died(3.3%).Complications occurred in 8(26.7%) and duodenal fistula was the main complication.Conclusion Simple and reasonable operation is very important for the treatment of duodenal trauma.Early operation,effective decompression of the duodenum and postoperative parenteral nutrition are the major factors influence prognosis.
Keywords:Trauma   Duodenum   Intestinal fistula
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