引用本文:毕连臣,麦 威,黄顺荣,秦千子.十二指肠损伤的临床诊治(附12例报告)[J].中国临床新医学,2009,2(6):634-635.
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十二指肠损伤的临床诊治(附12例报告)
毕连臣,麦 威,黄顺荣,秦千子
530021 南宁,广西壮族自治区人民医院胃肠外科
摘要:
[摘要] 目的 总结十二指肠损伤的特点及手术方法,以提高十二指肠损伤的诊治水平。方法  回顾性分析2002-01~2007-12间12例十二指肠损伤的临床资料。结果 医源性十二指肠损伤3例,闭合性十二指肠损伤9例。全部病例均经手术治疗,治愈11例(91. 6%),死亡1例(8. 4%)。结论 十二指肠损伤的治疗关键是早期诊断、早期手术,选择适宜的手术方式,进行综合治疗是治疗成功的重要因素。
关键词:  十二指肠  损伤  诊断  手术治疗
DOI:10.3969/j.issn.1674-3806.2009.06.35
分类号:R 656.6
基金项目:
Clinical diagnosis and treatment of duodenal trauma:report of 12 cases
BI Lian-chen, MAI Wei, HUANG Shun-rong, et al.
Department of Gastrointestinal Surgery, People′s Hospital of Guangxi Zhuang Autonomous Rigion, Nanning 530021, China
Abstract:
[Abstract] Objective To study the clinical features of duodenal trauma and the surgical methods in improving therapeutic effects.Methods The clinical data of 12 patients with duodenal trauma were analyzed retrospectively.Results 9 cases underwent single neoplasty of duodenum, 2 Roux-en-Y anastomosis and 1 duodenopancrea-tectomy. In 12 cases, 11 were cured, 1 died. Conclusion Early diagnosis of duodenal trauma is difficult.The proper choice of operation based on the injury types and the condition of duodenal trauma may be beneficial for improvement of survival rates and decrease of complication occurrence.
Key words:  Duodenum  Trauma  Diagnosis  Treatment