Schwemmle K
Langenbecks Arch Chir. 1978 Nov;347:187-92. doi: 10.1007/BF01579327.
The prognosis depends upon timely surgical intervention. Contusions and hematomas of the pancreas are treated through abdominal drainage. Pancreatic duct lesions require resection or pancreaticojejunostomy. Fresh duodenal perforations may be treated by primary suture. In cases of extensive tears, partial gastrectomy combined with selective vagotomy may be the surgical treatment of choice, in rare cases, duodenopancreatectomy. Conservative or surgical treatment of the duodenal hematoma will depend entirely upon the clinical picture.
预后取决于及时的手术干预。胰腺挫伤和血肿通过腹腔引流治疗。胰管损伤需要进行切除或胰管空肠吻合术。新鲜的十二指肠穿孔可通过一期缝合治疗。对于广泛撕裂的病例，胃部分切除术联合选择性迷走神经切断术可能是首选的手术治疗方法，在极少数情况下，可行十二指肠胰腺切除术。十二指肠血肿的保守治疗或手术治疗将完全取决于临床表现。
