Verma G R, Wig J D, Khanna S K, Bose S M
Department of Surgery, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Trop Gastroenterol. 1994 Jan-Mar;15(1):23-8.
The surgical management of fifteen cases of duodenal trauma is reported. Blunt injury of the abdomen was the commonest mode of injury. Thirteen patients (86.6%) had associated intra-abdominal and/or extra-abdominal injuries. Diagnosis of duodenal injury was made at laparotomy in all patients. In the majority of patients (n = 11), either duodenal repair, or anastomosis with the pylorus or jejunum was done. Duodenal diverticulization or pancreaticoduodenectomy were undertaken in 2 patients each. Feeding jejunostomy was an important adjunct for nutritional support. Septicemia with multisystem organ failure and duodenal fistula were lethal complications. Mortality in the present series was 46.6%.
本文报告了15例十二指肠创伤的外科治疗情况。腹部钝性损伤是最常见的损伤方式。13例患者（86.6%）伴有腹内和/或腹外损伤。所有患者均在剖腹手术时确诊为十二指肠损伤。大多数患者（n = 11）进行了十二指肠修复、与幽门或空肠吻合。分别有2例患者进行了十二指肠憩室化或胰十二指肠切除术。空肠造口喂养是营养支持的重要辅助手段。败血症伴多系统器官衰竭和十二指肠瘘是致命并发症。本系列的死亡率为46.6%。
