CAJ | 학술논문

目的：探讨多发伤中胰腺损伤的临床特点及救治对策。方法：回顾性分析我院急诊外科2008年2月至2013年2月收治的存在胰腺损伤的多发伤患者18例，按胰腺损伤合并其他损伤部位不同，分为3组。组1：胸部损伤合并胰腺损伤5例；组2：脊柱骨折合并胰腺损伤2例；组3：腹部多脏器损伤合并胰腺损伤11例。分析其受伤机制、临床特点及救治的方法。结果：组1：胸部损伤合并胰腺损伤5例，死亡2例，死因：创伤后急性呼吸窘迫综合征（A RDS ）；组2：脊柱骨折合并胰腺损伤2例，全部存活；组3：腹部多脏器损伤合并胰腺损伤11例，死亡2例，死因：创伤失血性休克1例，严重脓毒症1例。结论：多发伤中的胰腺损伤诊断困难，处理棘手，掌握其临床特点，做到尽早诊断，合理治疗，可望提高救治成功率。
목적：탐토다발상중이선손상적림상특점급구치대책。방법：회고성분석아원급진외과2008년2월지2013년2월수치적존재이선손상적다발상환자18례，안이선손상합병기타손상부위불동，분위3조。조1：흉부손상합병이선손상5례；조2：척주골절합병이선손상2례；조3：복부다장기손상합병이선손상11례。분석기수상궤제、림상특점급구치적방법。결과：조1：흉부손상합병이선손상5례，사망2례，사인：창상후급성호흡군박종합정（A RDS ）；조2：척주골절합병이선손상2례，전부존활；조3：복부다장기손상합병이선손상11례，사망2례，사인：창상실혈성휴극1례，엄중농독증1례。결론：다발상중적이선손상진단곤난，처리극수，장악기림상특점，주도진조진단，합리치료，가망제고구치성공솔。
Objective:To explore the clinical features and remedies of pancreatic injury in multiple trau-mas .Methods:18 cases of multiple trauma patients with pancreatic injury in our department from February 2008 to February 2013 were retrospectively analyzed .The patients were divided into three groups according to the different parts of associated other injuries .Group 1 :five cases of chest injury with pancreatic injury ;group 2 :two cases of spine fracture with pancreatic injury ;Group 3 :11 cases of abdominal injury with pancreatic injury .Mechanism of injury ,clinical features and treatment methods of pancreatic injury in multiple trauma were analyzed . Results :Group 1 :2 cases died of ARDS post -trauma .Group 2 :all survived .Group 3 :2 cases died of traumatic hemor-rhagic shock (1 case) or severe sepsis cases(1 case) .Conclusion :The pancreatic injury in multiple traumas is diffi-cult to diagnose and treat .To grasp the clinical features ,make early diagnosis and proper treatment ,are expected to improve the cure rate .