腹部闭合性损伤并胰腺损伤的诊治

本院251倒闭合性腹部损伤中,合并胰腺损伤的15例,其术前确诊困难,术中发现其中陕头损伤3例,体部损伤6例,尾部损伤5例,挫伤1例。行胰床引流1例,修补8例,胰尾切除6例。作者认为上腹部挤压伤者,术中应常规探查胰腺。尤其术前腹穿抽出淡红色血性液者,应考虑胰腺损伤的可能。手术方式依损伤的程度作胰床引流、修补及胰腺部分切除,对于胰头部的损伤主张修补加十二指肠及胆总管减压,为预防胰瘘,术中应力争结扎主胰管。

DIAGNOSIS AND THERAPY OF THE PANCREATIC TRAUMA CAUSED BY BLUNT ABDOMINAL LESIONS

Of the 250 cases of blunt abdominal trauma,15 cases of pancreatic lesions were complicatedwhich include 3 cases lacerated on the head of pan-creas, 5 on the body, 6 on the tail and one con-tused. The pancreatic bed drainage was performedfor one case, repair for 8 cases and pancreatic tailresection for 6 cases, In author's experiences, theroutinely inspecting the pancreas was carried outintra operatively, with blunt epigastric trauma, es-pecially the light red hemotoliquid was found bypericentesis. Operative method was classified frompancreatic bed drainage, repair and resection in ac-cordance with severity of the trauma, For prevent-ing the pancreatic juice fistula, the main pancreaticduct must try its best to be ligated. If the traumais on the head, a common bile duct and duodenumdecompression must be done.