[十二指肠损伤]

[Injuries of the duodenum].

作者信息

Mikhaĭlov A P, Sigua B V, Danilov A M, Napalkov A N

出版信息

Vestn Khir Im I I Grek. 2007;166(6):36-40.

Abstract

Based on an experience with treatment of 68 patients with injuries of the duodenum the authors have developed a diagnostic algorithm always permitting the diagnosis of injuries of the retroperitoneal part of the duodenum. A classification of severity of the duodenal injury was proposed determining the volume and type of surgery. Using the proposed therapeutic-diagnostic program decreased postoperative lethality from 52.4% to 11.8% in patients with wounds and from 60% to 13.4% in patients with closed injury of the duodenum.

摘要

基于对68例十二指肠损伤患者的治疗经验，作者制定了一种诊断算法，该算法总能诊断出十二指肠腹膜后部分的损伤。提出了十二指肠损伤严重程度的分类方法，以确定手术的范围和类型。采用所提出的治疗诊断方案，十二指肠开放性损伤患者的术后死亡率从52.4%降至11.8%，闭合性损伤患者的术后死亡率从60%降至13.4%。