胰腺钝性横断伤采用胰体尾切除术、保留脾脏及胃肠外营养治疗。附4例报告并文献复习。
Blunt transection of the pancrease treated by distal pancreatectomy, splenic salvage and hyperalimentation. Four cases and review of the literature.
作者信息
Robey E, Mullen J T, Schwab C W
出版信息
Ann Surg. 1982 Dec;196(6):695-9. doi: 10.1097/00000658-198212001-00014.
Abstract
The increasing awareness among surgeons of overwhelming postsplenectomy sepsis has led to new and innovative procedures to save the spleen. In pancreatic transection injuries (Type II)26 the classical treatment has been distal pancreatectomy and splenectomy. The opportunity to treat several patients with pancreatic transections sustained during blunt abdominal trauma lead to the review of the literature on the subject. Particular attention was paid to treatment of these injuries during distal pancreatectomy with splenic salvage, appropriate drainage, and hyperalimentation. Associated complications were likewise investigated and reviewed.
摘要
外科医生对脾切除术后严重感染的认识不断提高，促使他们采用新的创新方法来保留脾脏。在胰腺横断伤（II型）中，经典的治疗方法是远端胰腺切除术和脾切除术。有机会治疗多名因钝性腹部创伤导致胰腺横断伤的患者，促使我们对该主题的文献进行回顾。我们特别关注在远端胰腺切除术中保留脾脏、进行适当引流和给予胃肠外营养来治疗这些损伤。同样对相关并发症进行了调查和回顾。
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