Shaked G, Golocovsky M
Dept. of Surgery, Soroka University Hospital, Beer Sheba.
Harefuah. 1999 Apr 15;136(8):606-8, 659.
Major pancreatic trauma challenges the trauma surgeon with diagnostic problems and choices of treatment modalities. The most important determinant guiding management is the integrity of the main pancreatic duct. The preoperative and intraoperative assessment and treatment of pancreatic injury may be difficult, especially when concurrent severe injuries are present. There are alternative approaches in the management of the traumatized pancreas when ductal injury is not obvious during initial exploratory laparotomy.
严重的胰腺创伤给创伤外科医生带来了诊断难题和治疗方式的选择问题。指导治疗的最重要决定因素是主胰管的完整性。胰腺损伤的术前和术中评估及治疗可能很困难，尤其是当同时存在严重损伤时。在初次剖腹探查时若导管损伤不明显，对于受创伤胰腺的处理有多种替代方法。
