Alarcó Hernández A, Pérez Palma J, Herrero Segura A, Minguillón Serrano A, Bordallo Cortina A, González Hermoso F
Rev Esp Enferm Apar Dig. 1989 Dec;76(6 Pt 2):645-50.
We present our experience on pancreato-duodenal trauma surgically treated; we have studied the etiopathogenesis of the lesions and the severity of the condition, which is related to their anatomical relationships and to the difficulties of the early diagnosis. We emphasize the value of non invasive diagnostic methods, particularly immediate ultrasonography, CAT and exceptionally RECP. Abdominocentesis with peritoneal lavage and the insertion of a catheter through a minimal jejunostomy, for the nutritional support of the patient and to prevent complications merits special mention.
我们介绍了胰十二指肠创伤手术治疗的经验;我们研究了损伤的病因发病机制以及病情的严重程度,这与它们的解剖关系和早期诊断的困难有关。我们强调非侵入性诊断方法的价值,特别是即时超声检查、计算机断层扫描(CAT)以及特殊情况下的逆行胰胆管造影(RECP)。腹腔穿刺灌洗以及通过最小化空肠造口插入导管以进行患者营养支持和预防并发症值得特别提及。