Aliev S A, Aliev E S
Khirurgiia (Mosk). 2006(8):43-50.
Results of surgical treatment of 93 patients (85 male, 8 female) aged 15 to 63 years with injuries of pancreas (IP) are analyzed. Stab-incised wound was the cause of IP at 59 patients, gunshot wound--at 3, closed abdominal trauma--at 31 patients. Organ-saving operations were the method of choice. Use of octreotid for the complex treatment of IP permitted to reduce the rate of postoperative suppurative inflammations from 57.1 to 29.5%, lethality--from 39.3 to 21.5%. It is revealed that trauma of pancreas at 94.6% patients associated with combined and multiple injuries of abdominal, pelvic and retroperitoneal organs, and characterized by great number of postoperative complications and lethality.
分析了93例年龄在15至63岁之间胰腺损伤（IP）患者（85例男性，8例女性）的手术治疗结果。59例患者的胰腺损伤由刺伤所致，3例由枪伤所致，31例由闭合性腹部创伤所致。保留器官手术是首选方法。使用奥曲肽对胰腺损伤进行综合治疗可使术后化脓性炎症发生率从57.1%降至29.5%；死亡率从39.3%降至21.5%。结果显示，94.6%的胰腺损伤患者伴有腹部、盆腔和腹膜后器官的合并伤和多发伤，且术后并发症多、死亡率高。
