摘要
本文复习了18例外伤性十二指肠破裂的诊治经过,并分析其误诊和漏诊原因。因十二指肠破裂的发生率低,临床医师对此经验不足;对伴有多发性腹腔内脏器损伤者,十二指肠破裂的临床表现易被忽视;以及单纯十二指肠破裂,伤后症状和体征均不明显等均是导致误诊的原因。术中漏诊主要是由于满足于发现腹腔内脏器破裂或多处十二指肠破裂未仔细探查整个十二指肠段所致。
A review of 18 cases of traumatic rupture of duodenum was made especially on the causes of misdiagnosis on admission and in operation. Misdiagnosis on admission mostly because of its low incidence and surgeons are lack of experience. In ruptured duodenum associated with multiple organ injuries, the clinical signs of rupture of duodenum may be neglected. In addition, the clinical appearances in simple duodenal rupture arc vague, which is an another cause of error in clinical diagnosis. The causes of misdiagnosis during operation are mainly due to the fact that surgeons may be satiafied with the intraabdominal, injuries they have found and fail to explore the whole segment of duodenum.
出处
《创伤杂志》
CSCD
北大核心
1990年第1期16-18,共3页
