15 cases of complications after pancreatic trauma care.docVIP

 PAGE \* MERGEFORMAT 9 15 cases of complications after pancreatic trauma care [Keywords:] complications of pancreatic trauma care Abdominal traumatic pancreatic injuries are traffic accidents, high-altitude or heavy objects fall due to compression and other reasons, pancreatic injury is often combined a number of organ damage as well as the brain, spine, limbs and other parts of injury, surgical treatment is an important measure of pancreatic injury . More complications of pancreatic injury, the death rate of up to 10% to 20% [1], while the re-emergency condition, such as improper care, the consequences were extremely severe. November 2003 ~ October 2007 surgical patients admitted to pancreatic injury, 15 cases now reported as follows Nursing. A clinical data 1.1 Object The group of 15 patients were male, aged 19 to 60 years, mean 36 years. Encapsulated the full substance of the pancreas with mild contusion eight cases of pancreas, pancreas, and pancreatic tissue capsule part of contusion, three cases of main pancreatic duct integrity; pancreatic transection or rupture has been associated with main pancreatic duct rupture in 3 cases, rupture and difficult to repair one cases of . 3 cases of combined rupture of spleen, liver rupture in 3 cases, mesenteric rupture in 1 case, the merger stomach rupture, diaphragmatic rupture in 1 case, the merger limb fractures in 2 cases, blood pneumothorax in 2 cases, traumatic brain injury in 2 cases. 1.2 Clinical examination 2 cases of elevated serum amylase, urine amylase elevated in 3 cases, peritoneal drainage fluid amylase elevated in 2 cases; B super-show Xiphoid not homogeneous under the front of the solid lumps, the pancreas showed two cases of unclear; CT showed showed ascites, accumulation of blood, peri-pancreatic fluid, pancreatic contusion and laceration in 2 cases. 1.3 Methods Surgery in the close observation of vital signs, postoperative patients entered the emergency room, close observation by medical p