胰腺外伤的诊疗现状与进展
胰腺损伤,,创伤；,胰腺损伤,1胰腺外伤的分型,2胰腺损伤的诊断,3胰腺损伤的治疗,4胰腺损伤术后并发症的防治,5小结,参考文献：
摘要: 胰腺损伤常合并有其他脏器损伤，临床症状常被掩盖，病情复杂，易造成漏诊，延误治疗，同时其并发症发生率高，导致胰腺外伤死亡率高。临床上结合病史、淀粉酶、B超及CT检查，有助于胰腺损伤的早期诊断。胰腺损伤的类型较多，治疗上应实行个体化原则。胰腺损伤及手术后的并发症是导致其死亡的主要原因之一，应积极防治并发症，降低死亡率。关键词： 创伤； 胰腺损伤
Pancreatic trauma:current situation and progression in diagnosis and therapy
LI Bo,HUO Yongzhong
(Department of General Surgery Ⅱ,West China Hospital of Sichuan University,Chengdu 610041，China)
Abstract： Pancreatic trauma constantly combines with other injuries of organs. Missed diagnosis and delayed therapy are very common because of subtle symptoms and complex situation of the patients. Meanwhile,high incidence of complication leads to high mortality. Combination of medical record,serum amylase,ultrasound and CT scanning facilitate the diagnosis of pancreatic trauma. The principle of individualization should be noted according to the type of trauma. As complications are the main reason causing postoperative death,positive precaution should be taken to cut down mortality.
Key words： trauma; pancreatic injury
胰腺位于上腹部腹膜后，横跨脊柱，位置较深，移动度小，各方向都有其他脏器掩盖，外伤的发生率较低，约占腹部闭合伤的2%～5% ......
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