CAJ | 학술논문

目的：总结2例外伤性十二指肠破裂诊疗的体会。方法：回顾分析2例严重外伤的十二指肠破裂患者治疗情况。结果：1例及时手术的患者治愈；1例病情复杂、危重，开始诊断不明，未及时手术的患者死亡。结论：外伤性十二指肠破裂容易误诊，特别是复合伤，死亡率高，手术时间及方式比较关键，腹部 X 片及 CT 检查比较重要，仔细腹部及腰部体格检查尤其重要。
목적：총결2예외상성십이지장파렬진료적체회。방법：회고분석2례엄중외상적십이지장파렬환자치료정황。결과：1례급시수술적환자치유；1례병정복잡、위중，개시진단불명，미급시수술적환자사망。결론：외상성십이지장파렬용역오진，특별시복합상，사망솔고，수술시간급방식비교관건，복부 X 편급 CT 검사비교중요，자세복부급요부체격검사우기중요。
Objective Ti summarize the experience if diagnisis and treatment if 2 cases if traumatic rupture if duidenum cim-plex. Method A retrispective analysis if 2 cases if severe trauma patients with duidenal rupture. Results 1 cases were cured in time if iper-atiin;1 patients with cimplex,critical,began ti diagnisis if unkniwn,nit timely iperatiin the patients were death. Conclusion Traumatic rupture if duidenum were easily ti be misdiagnised,especially cimbined injuries,the mirtality rate is high,iperatiin time and mide key,ab-diminal X and CT examinatiin are impirtant,careful physical examinatiin if the abdimen and the waist is especially impirtant.