Kupczyk-Joeris D, Raguse T
Zentralbl Chir. 1985;110(19):1186-92.
Traumatic duodenal perforation has an incidence of 1%-17% (blunt injury) or 1.7%-5% (penetrating injury). Its prognosis correlates to the kind of injury, associated injuries, size of perforation and delayed diagnosis. Mortality in cases of delayed repair is 65% compared with 5% mortality in early repaired perforation. In cases of delayed diagnosis, we recommend drainage of the perforation, naso-duodenal suction tube, parenteral alimentation. 5 patients where diagnosis was delayed for 8 days or longer were treated in this way and the duodenal wound healed completely without any complications within 22-44 days.
创伤性十二指肠穿孔的发生率为1%-17%（钝性损伤）或1.7%-5%（穿透性损伤）。其预后与损伤类型、合并损伤、穿孔大小及诊断延迟有关。延迟修复病例的死亡率为65%，而早期修复穿孔的死亡率为5%。对于诊断延迟的病例，我们建议对穿孔进行引流、放置鼻十二指肠吸引管及胃肠外营养支持。5例诊断延迟8天或更长时间的患者接受了这种治疗，十二指肠伤口在22-44天内完全愈合且无任何并发症。
