Nowak M M, Baringer D C, Ponsky J L
Am Surg. 1986 Nov;52(11):599-602.
Injuries to the pancreas are encountered infrequently and are associated with significant morbidity and mortality. Controversy regarding the management of these injuries exists between the advocates of resection and the advocates of simple debridement and drainage. A retrospective review of 42 patients suffering injuries to the pancreas between 1969 and 1982 at the authors' institution was undertaken. Operative pancreatography was not performed, and all injuries were managed by debridement and drainage unless complete transection of the pancreas was present. The results support the use of debridement and drainage of nontransecting pancreatic injuries.
胰腺损伤并不常见，但却与较高的发病率和死亡率相关。在胰腺损伤的治疗方法上，主张切除术的医生和主张单纯清创引流术的医生之间存在争议。作者对其所在机构1969年至1982年间收治的42例胰腺损伤患者进行了回顾性研究。未进行术中胰管造影，除非胰腺完全横断，所有损伤均采用清创引流术治疗。结果支持对非横断性胰腺损伤采用清创引流术。
