摘要
目的探讨外伤性十二指肠损伤的处理及影响预后的因素。方法对1988年1月至2005年月9月收治的21例外伤性十二指肠损伤病例的临床资料进行回顾性分析。结果术前确诊1例(4．76%),漏诊20例(95．2%),死亡4例(19．04%)；发生并发症6例(28．5%),十二指肠瘘和腹腔内脓肿是主要并发症。结论十二指肠损伤术前确诊率低,早期剖腹手术,抗感染及营养疗法是降低并发症和死亡率的关键。
Objective To investigate the prognostic factors and managements of the duodenal trauma. Methods Clinical data of duodena trauma from January 1988 to September 2005 were collected and retrospectively analysed. Results One case（4.76% ） got preoperative diagnosis,and 20（95.2% ） missed and 4（19.04% ） died,complications occurred in 6 （28.5 % ）, duodenal fistula and abdomina abscess were the major complications. Conclusion The rate of confirmed diagnosis is quite low, and early laparotomy, anti-infection and surgical nutrition are the key factor to reducing death rates and its complications.
出处
《中国基层医药》
CAS
2006年第8期1333-1335,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
创伤和损伤
十二指肠
诊断
治疗
Trauma and injury
Duodenum
Diagnos
Treatment
