J Trauma. 1975 Aug;15(8):714-9.
Three cases of massive right upper quadrant abdominal injury involving liver, pancreas, and duodenum are presented. The treatment of choice for such extensive devitalizing injuries is pancreaticoduodenectomy combined with appropriate liver resection. There was no martality in this series and followup for at least 2 years shows no evidence of chronic morbidity with regard to pancreatic function. Principles of management of severe, combined injuries of organs in the upper quadrant of the abdomen are based upon rapid control of hemorrhage, repair of major vessels, pancreaticoduodenectomy when neither the head of the pancreas nor adjacent duodenum can be preserved ent-to-end inverting pancreaticojejunostomy, choledochojejunostomy and careful evaluation of the kidney and ureter.
本文报告了3例涉及肝脏、胰腺和十二指肠的右上腹严重损伤病例。对于如此广泛的失活组织损伤，首选的治疗方法是胰十二指肠切除术并结合适当的肝切除术。本系列病例无死亡，至少2年的随访显示，未发现胰腺功能存在慢性疾病的证据。上腹部器官严重联合损伤的处理原则基于快速控制出血、修复主要血管、当胰腺头部和相邻十二指肠无法端端保留时行胰十二指肠切除术、端端内翻胰空肠吻合术、胆总管空肠吻合术以及仔细评估肾脏和输尿管。
