Nelson M G, Jones D R, Vasilakis A, Timberlake G A
Department of Surgery, Robert C. Byrd Health Sciences Center of West Virginia University, Morgantown.
W V Med J. 1994 Jul;90(7):274-8.
Pancreatic injuries secondary to blunt trauma are challenging to diagnose. In many cases, the diagnosis is missed or delayed due to the subtle symptoms and signs of pancreatic injury. Blunt pancreatic injuries may evolve over a period of time and can be a source of extensive morbidity and mortality. Most radiologic and laboratory studies have been notoriously nonspecific in diagnosing pancreatic injuries. This article discusses three patients we treated with pancreatic transection secondary to blunt trauma, who underwent computed tomography (CT) of the abdomen on admission. The pertinent CT findings and utility of CT as a diagnostic tool in these three cases of blunt pancreatic injuries are reviewed. Abdominal CT scanning can accurately identify pancreatic injuries secondary to blunt trauma, allowing expeditious surgical intervention. A high index of suspicion for pancreatic injury combined with careful interpretation of abdominal CT scans can provide valuable information about pancreatic injury during the initial trauma assessment.
钝性创伤继发的胰腺损伤诊断具有挑战性。在许多情况下，由于胰腺损伤的症状和体征不明显，诊断会被漏诊或延误。钝性胰腺损伤可能会在一段时间内发展，并且可能是广泛发病和死亡的原因。大多数放射学和实验室检查在诊断胰腺损伤方面一直以非特异性而闻名。本文讨论了我们治疗的3例钝性创伤继发胰腺横断伤患者，他们入院时均接受了腹部计算机断层扫描（CT）检查。回顾了这3例钝性胰腺损伤病例中相关的CT表现以及CT作为诊断工具的实用性。腹部CT扫描可以准确识别钝性创伤继发的胰腺损伤，从而允许进行快速的手术干预。对胰腺损伤保持高度怀疑指数，并仔细解读腹部CT扫描，可以在初始创伤评估期间提供有关胰腺损伤的有价值信息。
