摘要
目的探讨外伤性十二指肠破裂的早期临床诊断与治疗措施。方法回顾性分析42例外伤性十二指肠破裂的临床诊治资料。结果本组术前确诊22例,占52.4%,术中探查证实20例,占47.6%。治愈40例,死亡2例,死亡率占4.8%。死亡原因首例入院前已延误4天(98小时),虽经手术抢救后,终因发展成严重脓毒败血症、中毒性休克,最后并发急性多尿型肾功能衰竭、DIC死亡,另1例因严重多脏器损伤大出血术中探查死亡。结论外伤性十二指肠破裂的早期诊断与手术治疗,是降低本病死亡率,减少并发症的关键。
Objective To explore the early diagnosis and treatment of traumatic rupture of duodenum. Methods The clinic data of 42 patients with traumatic rupture of duodenum were retrospectively analyzed. Results 22 cases （52.4%） of duodenal injury were diagnosed before the operation, 20 cases （47.6%） were proved during the operation. 40 cases were curable, 2 cases （4.8%） were dead. The reasons of death： One was delayed four days. Sepsis, toxic shock and acute diuretic kidney failure and DIC result in the death although the operative treatment had completed. The other was complicated by serious additional other intra-abdominal organ injures and died during the operative exploration. Conclusion Early diagnosis and operative treatment would be the keys to lower complication and morality rate of the patients with traumatic rupture of duodenum.
出处
《现代医院》
2005年第10期17-19,共3页
Modern Hospitals
关键词
外伤性
十二指肠破裂
早期诊断
手术治疗
Trauma, Duodenum rupture, Early diagnosis, Operative treatment
