CAJ | 학술논문

目的探讨胰腺创伤的诊断和治疗体会。方法回顾性分析2003年12月-2012年9月期间我院收治13例胰腺创伤患者的临床资料。结果本组13例患者，1例入院当天转上级医院治疗，预后不详；1例出现切口、引流口感染和胰瘘；4例出现胰腺假性囊肿；1例并发多脏器功能衰竭死亡；6例未出现并发症，治愈出院。结论胰腺创伤诊断困难，根据胰腺创伤的具体情况，合理选择手术方式至关重要。在基层医院技术和条件有限的情况下，给予病情紧急、胰腺损伤严重患者彻底清创缝合和切除失去生机的胰腺组织，并充分引流，防止术后发生致命性胰瘘和出血是安全、可行的。
목적탐토이선창상적진단화치료체회。방법회고성분석2003년12월-2012년9월기간아원수치13례이선창상환자적림상자료。결과본조13례환자，1례입원당천전상급의원치료，예후불상；1례출현절구、인류구감염화이루；4례출현이선가성낭종；1례병발다장기공능쇠갈사망；6례미출현병발증，치유출원。결론이선창상진단곤난，근거이선창상적구체정황，합리선택수술방식지관중요。재기층의원기술화조건유한적정황하，급여병정긴급、이선손상엄중환자철저청창봉합화절제실거생궤적이선조직，병충분인류，방지술후발생치명성이루화출혈시안전、가행적。
Objective To discuss the experience of diagnosis and treatment for pancreatic trauma. Methods The clinical data of 13 cases with pancreatic trauma from December 2003 to September 2012 were analyzed retrospectively. Results There were 13 patients in the study,Among them,1 patient was transferred to higher hospital for treatment on the day of admission and the prognosis was unknown,1 case appeared incision and drainage port infection and pancreatic fistula,4 cases appeared pancreatic pseudocyst,1 case died of multiple organ failure, 6 cases were cured without complication. Conclusion Pancreatic trauma is difficult to diagnose. According to the specific circumstances of the pancreatic trauma,a reasonable choice of surgical approach is essential.Under the circumstance of the technique and conditions in the primary hospital were limited,the condition is urgent and pancreatic injury is serious, it is safe and feasible that thorough debridement,excision of the pancreatic tissue with loss of vitality and adequate drainage to prevent postoperative pancreatic fistula and fatal bleeding.