| 外伤性十二指肠破裂28例诊治体会 |
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| 引用本文： | 张铭,张力,张立超,丛培利. 外伤性十二指肠破裂28例诊治体会[J]. 河北医学, 2007, 13(1): 58-59 |
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| 作者姓名： | 张铭 张力 张立超 丛培利 |
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| 作者单位： | 内蒙古阿鲁科尔沁旗中医院外科,内蒙古,阿鲁科尔沁旗,025550;内蒙古阿鲁科尔沁旗中医院外科,内蒙古,阿鲁科尔沁旗,025550;内蒙古阿鲁科尔沁旗中医院外科,内蒙古,阿鲁科尔沁旗,025550;内蒙古阿鲁科尔沁旗中医院外科,内蒙古,阿鲁科尔沁旗,025550 |
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| 摘 要： | 目的:探讨外伤性十二指肠破裂的诊断及术式选择.方法:对1990年5月至2006年4月收诊28例外伤十二指肠破裂病例的临床资料进行总结性分析.结果:术前确诊16例;术中探查确诊12例;治愈25例;死亡3例;并发症7例.十二指肠瘘及腹腔脓肿是主要并发症.结论:早期正确诊断,选择正确手术方式,有效十二指肠内减压和术后肠内外营养是治疗的关键.
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| 关 键 词： | 十二指肠破裂 诊断 手术方式 |
| 文章编号： | 1006-6233(2007)01-0058-02 |
The Diagnosis and Treatment of 28 cases Traumatic Rupture of Duodenum |
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| ZHANG Ming,ZHANG Li,ZHANG Li-chao,et al. The Diagnosis and Treatment of 28 cases Traumatic Rupture of Duodenum[J]. Hebei Medicine, 2007, 13(1): 58-59 |
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| Authors: | ZHANG Ming ZHANG Li ZHANG Li-chao et al |
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| Abstract: | Objective: To explore the early diagnosis and treatment of traumatic rupture of duodenum.Method:The clinic datas of 28 patients with traumatic rupture of duodenum were retrospectively analyzed from May 1990 to Apr.2006.Result :16 cases of duodenal injury were diagnosed before the operation,12 cases were proved during the operation.3 cases(4.8%) were dead.7 cases with complications.And the main complication is fistula of duodenum and abdominal abscess.Conclusion : The key point for treating rupture of duodenum is early diagnosis and with proper method for operation,in the mean while with effective decompression of duodenum and enteral nutrition in postoperation. |
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| Keywords: | Rupture of duodenum Diagnosis Method for operation |
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