闭合性十二指肠损伤诊断及治疗

目的探讨闭合性十二指肠损伤的诊断及治疗。方法对收治的24例闭合性十二指肠损伤患者的临床资料进行回顾性分析。结果闭合性十二指肠损伤临床表现缺乏特异性，术前确诊率低，合并伤多，损伤部位以降部多见，24例均经手术治疗，治愈22例，死亡2例。结论及时诊断及选择合理的手术方式是治疗成功的关键。

Diagnosis and treatment of closed duodenal injury

Objective To study the diagnosis and treatment of closed duodenal injury. Methods The clinical data of 24 patient with closed duodenal injury who were treated in our hospital from May 1999 to May 2006 were retrospectively analyzed. Results The clinical manifestation of closed duodenal injury was not specific, so its preoperative diagnosis rate was low. Majority of closed duodenal injury occurred in the duodenal descending part. The associated injuries were frequently found in the patients with closed duodenal injury. Among 24 patients with closed duode- nal injury who were treated by operation,22 patients were cured, 2 patients died. Conclusion The key to the successful treatment lies in timely diagnosis and seletion of reasonable operative method.