摘要
目的 对十二指肠损伤的临床特点 ,诊断及外科治疗结果进行分析。方法 回顾性总结 1984～ 1999年经手术证实的十二指肠损伤患者 17例。结果 单纯十二指肠损伤 3例 ,合并伤 14例 ,其中合并 2个以上脏器损伤 8例 ,占 47%。损伤部位以降部及降部与水平部交界处为多 ,有 13例 ,占 76 %。 16例治愈 ,治愈率为 94% ,有术后并发症者 4例 ,发生率为 2 4% ,死亡 1例 ,病死率为5 %。结论 掌握十二指肠损伤的临床特点 ,提高术中探查的确诊率 ,根据伤情选择合理、安全的术式 ,建立有效的十二指肠引流减压 ,及时治疗术后并发症是提高疗效的关键。
Objective To analyze the clinical characteristics of diagnosis and management of primary duodenal injury.[WT5”HZ]Methods[WT5”BZ] We summarized retrospectively the clinical course of 17 cases of duodenal injury proved by laparotomy between 1984 and 1999.[WT5”HZ] Results[WT5”BZ] There were 3 cases of simple duodenal injury. 14 cases of the complicated injury. 8 cases (47%) suffered from injuries of 2 or more organs.Injuries of discending part and border between discending part and level part were found in 13 of the 17 patients (76%). 16 cases (94%) were cured. The rate of postoperative complication was 24% (4 cases). One patient died (5%).[WT5”HZ]Conclusion[WT5”BZ] We should grasp the chinical character of duodenal injury, improve the rate of definite diagnosis in the course of laparotomy, use safe and effective procedure according to the injury, build up efficient drainage and decompression of the duodenum. The operative effectiveness lies in prompt and correct treatment of postoperative complications.
出处
《中华普通外科杂志》
CSCD
2000年第10期617-618,共2页
Chinese Journal of General Surgery
