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[胰腺创伤性损伤的诊断与治疗]

[Diagnosis and treatment of traumatic lesions of the pancreas].

作者信息

Pezzangora V, Zerbinati C, Della Dora R, Papaccio G C

出版信息

Minerva Chir. 1979 Apr 30;34(8):631-7.

PMID:460619
Abstract

A survey of the main series in the world literature and personal data concerning injuries to the pancreas is followed by the suggestion that the risk of pseudocyst or pancreatitis means that in all cases where injury to the pancreas is suspected, and resolution is slow, laparotomy must be performed, coupled with careful exploration of the lesser omentum and precise evaluation of possible lesions, prior to suitable surgical management. Medical therapy is also of prime importance. Its main feature is the administration of a protease inhibitor to prevent pre- and post-operative enzymatic toxaemia.

摘要

对世界文献中关于胰腺损伤的主要系列报道和个人资料进行调查后,有人提出,假性囊肿或胰腺炎的风险意味着,在所有怀疑有胰腺损伤且病情缓解缓慢的病例中,在进行适当的手术治疗之前,必须进行剖腹手术,并仔细探查小网膜,精确评估可能的病变。药物治疗也至关重要。其主要特点是使用蛋白酶抑制剂以预防手术前后的酶性毒血症。

相似文献

1
[Diagnosis and treatment of traumatic lesions of the pancreas].[胰腺创伤性损伤的诊断与治疗]
Minerva Chir. 1979 Apr 30;34(8):631-7.
2
[Treatment of injuries of the duodenum and pancreas].[十二指肠和胰腺损伤的治疗]
G E N. 1977 Apr-Jun;31(4):363-76.
3
[Post traumatic injuries of the duodenum and/or pancreas. Perioperative management].
Dakar Med. 2002;47(1):27-9.
4
Treatment of pancreatic injuries.
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Pancreatic and duodenal trauma in children.儿童胰腺和十二指肠创伤
J Pediatr Surg. 1972 Dec;7(6):670-5. doi: 10.1016/0022-3468(72)90277-1.
8
Pancreatic injuries resulting from penetrating trauma: a multi-institution review.穿透性创伤所致胰腺损伤:一项多机构综述
Am Surg. 1998 Sep;64(9):838-43; discussion 843-4.
9
Surgical management of pancreatic pseudocysts.胰腺假性囊肿的外科治疗
Am Surg. 1975 Aug;41(8):492-6.
10
Massive right upper quadrant intra-abdominal injury requiring pancreaticoduodenectomy and partial hepatectomy.巨大的右上腹腹腔内损伤,需要进行胰十二指肠切除术和部分肝切除术。
J Trauma. 1975 Aug;15(8):714-9.