中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (03): 237-238.

• 论著 • 上一篇    下一篇

十二指肠损伤27例临床诊治体会

孙念峰1,王国斌2   

  1. 1.山东大学第二附属医院普外科，山东济南250033；2.华中科技大学同济医学院附属协和医院普外科, 湖北武汉430022
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-03-13 发布日期:2009-03-13

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-03-13 Published:2009-03-13

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摘要：

目的 探讨十二指肠损伤的诊治策略。 方法 对1997 年9 月至2008 年月5 月山东大学第二附属医院普外科收治的27 例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10 例(37.04 %) ,术中确诊15例(55.56%)，漏诊2 例(7.41 %) ;治愈24 例(88.89 %) ,死亡3 例(11.11 %) ;发生并发症10 例(37.04 %) ,十二指肠瘘是主要的并发症。结论 简单而合理的手术方式是治疗十二指肠损伤的重要措施。

关键词: 创伤, 十二指肠, 肠瘘

Abstract:

Diagnosis and treatment of duodenal trauma:an analysis of 27 cases SUN Nian-feng*,WANG Guo-bin. *Department of General Surgery, No2 Hospital of Shandong University , Jinan 250033 ,China Corresponding author:SUN Nian-feng, E-mail:sunnianfeng@163.com Abstract Objective To investigate the managements of the duodenal trauma. Methods We collected and retrospectively analysed　the clinical data of 27 cases of duodenal trauma from September 1997 to May 2008 . Results 10 cases(37.04 %)got exactly diagnosis before operation ,15 cases (55.56%) got midoperative diagnosis and 2 cases missed diagnosis (7.41 %) ,24 cases (88.89%) were cured ,and 3 cases died(11.11 %) ,complications occurred in 10 cases (37.04 %) . Duodenal fistula was the main complication. Conclusion Simple and reasonable surgical procedure is very important for duodenal trauma.

Key words: trauma, duodenum, intestinal fistula