腹部闭合性十二指肠损伤的早期诊断

目的探讨腹部闭合性十二指肠损伤的早期诊断方法。方法回顾分析了我院1962~2005年收治58例闭合性十二指肠损伤的诊断手段,包括腹部X线摄片、腹腔穿刺、腹腔灌洗、超声和CT检查。结果受伤后24 h以内获诊治者50例,24 h后获诊治者8例。腹腔穿刺确诊2例,CT及B超确诊各4例。术前正确诊断10例,其余均为行剖腹探查时获诊。结论对腹部闭合性十二指肠损伤高度警惕是早期诊断的前提,仔细探查是早期诊治的关键。联合运用多种辅助诊断方法有助于早期正确诊断。

EARLY DIAGNOSIS OF BLUNT DUODENAL INJURY

Objective To study the early diagnosis of duodenal injury in closed abdominal trauma.MethodsFifty-eight cases of blunt duodenal injury treated in our hospital during 1962-2005 were analyzed.The diagnostic means included abdominal X-rays,abdominal puncture,abdominal washing,ultrasonography and CT.ResultsFifty cases were diagnosed within 24 hours,and eight beyond 24 hours.The diagnosis was confirmed preoperatively in 10 cases,in which,two by abdominal puncture,four by CT and four by ultrasonography,the rest confirmed at laparotomy.ConclusionHigh precautions and combined use of various methods are the key for early diagnosis of blunt duodenal injury.