CAJ | 학술논문

目的探讨胰腺损伤的早期诊断和选择合适的治疗方法.方法总结1997年10月至2008年11月收治的31例胰腺损伤患者的临床资料.分析胰腺损伤的早期临床症状、体征、处理方法及造成死亡的原因.结果 31例均行手术治疗,治愈28例,死亡3例.致死原因为胰瘘和多器官功能障碍综合征.胰瘘和胰腺假性囊肿是主要的并发症.结论胰腺损伤术前诊断困难,手术探查是确诊的主要方法.术中关键是探查全面,根据胰腺损伤程度选择合理的治疗方法是提高治愈率的关键.
목적 탐토이선손상적조기진단화선택합괄적치료방법.방법 총결1997년10월지2008년11월수치적31례이선손상환자적림상자료.분석이선손상적조기림상증상、체정、처리방법급조성사망적원인.결과 31례균행수술치료,치유28례,사망3례.치사원인위이루화다기관공능장애종합정.이루화이선가성낭종시주요적병발증.결론 이선손상술전진단곤난,수술탐사시학진적주요방법.술중관건시탐사전면,근거이선손상정도선택합리적치료방법시제고치유솔적관건.
Objective To explore the early diagnosis and proper treatment for pancreas injuries. Methods 31 patients with pancreatic injury were treated from Oct. 1997 to Nov. 2008 in the Third Hospital of Yanzhou Mining Group. The early clinical signs and characters, treatment and causes of death of the 31 cases of pancreas injuries were studied retrospectively. Results All 31 cases with blunt pancreatic injury underwent operation. 28 patients were cured, 2 died from the pancreatic fistula and 1 multiple organ dysfunction syndrome.Pancreatic fistula and pancreatic pseudocysts were the main complications. Conclusions The preoperative diagnosis is difficult. Surgical exploration is the main method to guarantee accurate diagnosis of pancreatic injuries.Selecting proper surgical operation according to the situation of pancreatic injuries during the exploration can elevate successful rate.