Kononov A G, Sotnichenko B A, Makarov N I, Dmitriev O N
Vestn Khir Im I I Grek. 1990 May;144(5):70-2.
Isolated injuries were observed in 22 (16 men and 6 women) of 71 patients with a trauma of the pancreas. The correct diagnosis prior to operation was made in 3 patients. Laparotomy has revealed a complete transverse rupture of the pancreas in 4 patients. Three patients were subjected to distal resection of the pancreas, one patient--to economical resection with pancreatojejunostomy. The isolated injury of the pancreas was complicated by trauma pancreatitis in 18 patients by the moment of operation. The authors recommend to use rational drainage of the bursa omentalis with a two-lumen drain, abdominization of the organ, hypothermal perfusion, X-ray therapy. One of the 22 patients died.
在71例胰腺外伤患者中，22例（16例男性，6例女性）出现孤立性损伤。术前3例患者得到正确诊断。剖腹探查发现4例患者胰腺完全横断。3例患者接受了胰腺远端切除术，1例患者接受了保留胰腺的胰空肠吻合术。至手术时，18例胰腺孤立性损伤患者并发创伤性胰腺炎。作者建议采用双腔引流管合理引流网膜囊、脏器腹腔化、低温灌注、X线治疗。22例患者中有1例死亡。
