Oláh A, Pardavi G, Mátrai T
Petz Aladár Megyei Kórház, Györ, Sebészeti Osztály.
Orv Hetil. 1992 Oct 11;133(41):2617-20.
In connection with three successfully operated cases authors are treating the types of late pancreatic complications after blunt abdominal trauma. It is emphasized that the preoperative diagnosis is difficult. Many times weeks or months pass away after the trauma without any symptoms and only developed complication can be noticed first. The importance of the first provision and the need for a careful examination of the pancreas at operation is underlined. In the case of the less suspicion of pancreatic injury they suggest wide, adequate drainage. At last they call attention to the responsibility of the surgeon making the first operation.
作者结合三例成功手术的病例,探讨了钝性腹部创伤后晚期胰腺并发症的类型。强调术前诊断困难。创伤后很多时候会经过数周或数月而没有任何症状,只有出现并发症时才会首次被发现。强调了早期处理的重要性以及术中仔细检查胰腺的必要性。对于胰腺损伤怀疑较小的情况,他们建议进行广泛、充分的引流。最后,他们提请注意首次手术外科医生的责任。