Graham J M, Mattox K L, Jordan G L
Am J Surg. 1978 Dec;136(6):744-8. doi: 10.1016/0002-9610(78)90349-5.
Traumatic injuries of the pancreas have evolved from an uncommon encounter of even wartime wounds to a relatively common injury of today's civilian strife. A review of 448 patients sustaining pancreatic trauma demonstrated that the pancreatic injury alone contributes little to immediate or late mortality but is frequently a source of postoperative morbidity. Complications of pancreatic injury comprise almost half of those observed after trauma in such patients, but for the most part are self-limited and easily cared for. Survival among patients sustaining pancreatic injury depends mainly upon the degree of success with which the multiple associated injuries can be managed.
胰腺创伤已从战时伤口中较为罕见的情况,演变成当今平民冲突中相对常见的损伤。对448例胰腺创伤患者的回顾显示,单纯的胰腺损伤对即时或晚期死亡率影响不大,但常常是术后发病的一个来源。胰腺损伤的并发症几乎占此类患者创伤后观察到的并发症的一半,但在很大程度上是自限性的,易于护理。胰腺损伤患者的生存主要取决于处理多种相关损伤的成功程度。