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胰腺和十二指肠损伤:手术治疗的发病率和死亡率

Pancreatic and duodenal injuries: morbidity and mortality of surgical management.

作者信息

Proctor H J, Peacock J B

出版信息

South Med J. 1979 Dec;72(12):1535-6. doi: 10.1097/00007611-197912000-00013.

DOI:10.1097/00007611-197912000-00013
PMID:515763
Abstract

A retrospective review of pancreatic injury is presented. Twenty-five cases in which the pancreatic injury was either the sole or major injury were selected from over 100 cases of pancreatic injury admitted during the period 1970 to 1977. Eight pancreatic injuries resulted from blunt trauma and 17 from penetrating trauma. Two methods of treatment were compared, drainage alone versus duodenal diverticularization and/or distal resection. There were no deaths. Of the 15 patients treated by drainage alone, 14 (93%) developed postoperative complications, as compared to 20% (two of ten patients) treated by diverticularization and/or distal resection.

摘要

本文对胰腺损伤进行了回顾性研究。从1970年至1977年收治的100多例胰腺损伤病例中,选取了25例胰腺损伤为唯一或主要损伤的病例。8例胰腺损伤由钝性创伤引起,17例由穿透性创伤引起。比较了两种治疗方法,即单纯引流与十二指肠憩室化和/或远端切除术。无死亡病例。单纯引流治疗的15例患者中,14例(93%)出现术后并发症,而接受憩室化和/或远端切除术治疗的患者中这一比例为20%(10例中的2例)。

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Pancreatic and duodenal injuries: morbidity and mortality of surgical management.胰腺和十二指肠损伤:手术治疗的发病率和死亡率
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Infectious complications following duodenal and/or pancreatic trauma.十二指肠和/或胰腺创伤后的感染性并发症。
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引用本文的文献

1
Experience with duodenal necrosis. A rare complication of acute necrotizing pancreatitis.十二指肠坏死的经验。急性坏死性胰腺炎的一种罕见并发症。
Int J Pancreatol. 1999 Apr;25(2):147-9. doi: 10.1385/IJGC:25:2:147.
2
Review of pancreatic trauma.胰腺创伤综述。
West J Med. 1989 Jul;151(1):45-51.