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[胰腺损伤]

[Injuries of the pancreas].

作者信息

Vasiutkov V Ia, Murasheva Z M, Sukhov D V, Burakov M B

出版信息

Khirurgiia (Mosk). 1989 Aug(8):72-6.

PMID:2811136
Abstract

Trauma of the pancreas was studied in 48 patients. It has a typical mechanisms and is characterized by intensity of the exerted force. Due to the last named circumstance, extensive retroperitoneal hematomas, ruptures of the parenchymatous organs, ligaments, veins, and large arteries often occur A severe condition of the patients with fall of arterial pressure and the development of shock is characteristic. It is difficult to establish the diagnosis of trauma of the pancreas before the operation. The most frequent complication is traumatic pancreatitis which is often attended by the development of cysts, fistulas, and peritonitis. The surgeon's tactics is determined by the character of the injury and is individual in each patient.

摘要

对48例胰腺创伤患者进行了研究。它有典型的机制,并以施加力的强度为特征。由于上述情况,常出现广泛的腹膜后血肿、实质器官破裂、韧带、静脉和大动脉破裂。患者出现动脉压下降和休克发展的严重状况是其特征。术前很难确诊胰腺创伤。最常见的并发症是创伤性胰腺炎,常伴有囊肿、瘘管和腹膜炎的发生。外科医生的策略取决于损伤的性质,且因患者个体而异。

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