Devoitille A, Dominé F, De Roover A, Defêchereux Th, Detry O, Szapiro D, Bricteux G, Meurisse M, Honoré P
CHU Sart Tilman, 4000 Liège.
Rev Med Liege. 2002 Dec;57(12):760-4.
Pancreatic injury after trauma can occur in the child as an isolated lesion after a minor injury. The consequences can be severe in the absence of prompt diagnosis and treatment. Determination of mechanism of injury, clinical examination, blood amylase levels and abdominal CT-scan are first line steps for the evaluation of the injury. ERCP and MRI can be useful tools to further document injury to the pancreatic duct. In the absence of duct injury, conservative treatment can be applied. For the other cases, the treatment is surgical although newer techniques may be applied in selected cases.
儿童创伤后胰腺损伤可能作为轻微损伤后的孤立病变出现。若未及时诊断和治疗，后果可能很严重。确定损伤机制、进行临床检查、检测血淀粉酶水平及腹部CT扫描是评估该损伤的首要步骤。内镜逆行胰胆管造影（ERCP）和磁共振成像（MRI）可能是进一步明确胰管损伤的有用工具。若无导管损伤，可采用保守治疗。对于其他情况，治疗方式为手术，不过在某些特定病例中可能会应用更新的技术。
