十二指肠损伤的诊断与治疗(附36例报告)

目的 探讨提高十二指肠损伤的早期诊断率和选择合理的手术方法。方法 回顾性分析36例十二指肠损伤患者的临床资料。结果 36例十二指肠损伤患者中，损伤位于十二指肠第一段1．3％(4／36)例，第二与第三段之间72．2％(26／36)，第四段r6．7％(6／36)，合并其他脏器损伤38．9％(14／36)，手术后并发症发生率为13．9％(5／36)，本组治愈率为94．4％，病死率为2．8％(1／36)。结论 注意十二指肠损伤的特点，早期诊断、早期掌握手术探查指征和选择合理的手术方案，术后有效的十二指肠减压、充分引流以及抗感染和支持治疗等，可提高治愈率。

Early Diagnosis aed Treatment of Duodenal Trauma:A Report of 36 Cases

Objective To explore the early diagnosis and operative treatment of duodenal injury. Methods The clinic data of 36 patients with duodenal trauma were retrospectively analyzed. Results Among 36 cases of duodenal injury, 4 cases (4/36,10.3%) were located in the first section of duodenum, 26 cases (26/36,72.2%) were between the second and third sections of duodenum, 6 cases (6/36,16.7%) were located in the fourth section of duodenum, and 14 cases were accompanied by other organ injury. The frequency of the postoperative complications was 13.9%, the curative rate was 94.4%, and the mortality was 2.8%. Conclusion Familiarizing with charateristics of duodenum injury, early diagnosing, mastering surgical exploration indication, selecting suitable operative approach, effective duodenal decompression, sufficient drainage and anti-infection treatment can improve the curative rate of duodenal injury.