| 十二指肠损伤的诊断和治疗 |
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| 引用本文： | 黄永豪,李颖,傅俊惠.十二指肠损伤的诊断和治疗[J].中国基层医药,2005,12(7):855-856. |
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| 作者姓名： | 黄永豪 李颖 傅俊惠 |
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| 作者单位： | 1. 515638,广东潮安县人民医院普外科
2. 广东省汕头市中心医院肿瘤外科 |
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| 摘 要： | 目的 探讨十二指肠损伤的诊治特点。方法 回顾性分析20例十二指肠损伤的临床资料。结果 术前确诊15例，误诊5例，误诊率25％。本组全部经手术治疗痊愈，其中2例出现十二指肠瘘和腹腔脓肿，经再次手术后治愈。结论 十二指肠损伤早期诊断、及时正确手术是极其重要的。有效地十二指肠引流、空肠造瘘、肠内营养有利于十二指肠损伤愈合。
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| 关 键 词： | 十二指肠损伤 诊断 治疗 空肠造瘘 肠内营养 |
| 收稿时间： | 2005-03-18 |
| 修稿时间： | 2005年3月18日 |
Diagnosis and treatment of duodenal injury |
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| HUANG Yong-hao,LI Ying,FU Jun-hui.Diagnosis and treatment of duodenal injury[J].Chinese Journal of Primary Medicine and Pharmacy,2005,12(7):855-856. |
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| Authors: | HUANG Yong-hao LI Ying FU Jun-hui |
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| Abstract: | Objective To study the mechanism of duodenal injury and improve its diagnosis and treatment.Methods Clinical materials of 20 cases of duodenal injury were analyzed retrospectively. Results Most of the cases were complicated with additional injuries in other organs. Closed injury was mostly seen. All patients were treated by operation and survived. Duodenalfistula and abdominal abscess occurred in two patient who were cured after the reoperation. Conclusions Early diagnosis and proper treatment in time are most important. An effective duodenal drainage and enteral nutrition through jejunostomy are beneficial to healing the injury. |
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| Keywords: | Duodenal Wounds and injuries Surgery operative |
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