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Analysis of 32 cases of pancreatic injury
[Abstract] for the diagnosis of pancreatic injury and treatment, treated in 1997-2007 were retrospectively analyzed 32 cases of pancreatic injury in clinical data. The results, 5 cases of pancreatic injury grade , 9 cases, 10 cases, 4 cases, level in 4 cases, 7 cases of pancreatic trauma alone (12.9%), combined with other organ injuries in 25 cases (78.1%). preoperative diagnosis of pancreatic injury in only 11 cases (34.4%) .32 patients underwent surgery treatment, 30 cases were cured, 2 died. difficulty of early diagnosis of pancreatic injury, should be on high alert. of suspected or diagnosed with pancreatic injury, surgical exploration as soon as possible, and according to the location and severity of injury, choose a reasonable surgical approach.
[Keywords:] pancreas, injury, surgery
Pancreas is a retroperitoneal organ, by the front of the abdominal viscera and the muscles around the back of the relative protection of the spine, so the pancreatic injury is less common in the abdominal injury, but with traffic accidents and other injuries in recent years, the increase of factors, pancreatic damage was significantly increased. As the location of the pancreas hidden, early diagnosis is difficult injury, postoperative complications and high mortality. now admitted to our hospital from 1997-2007, 32 cases of pancreatic injury in clinical data analysis.
1 Data and methods
1.1 Clinical data
24 males and 8 females, aged 10 to 54 years, mean 34 years. The causes of injury: blunt injury in 29 cases, of which 18 cases of traffic injury, impact injury in 11 cases, 3 cases of open injury, were stabbed . pure pancreatic injury in 7 patients (21.9%), combined with other organ injuries in 25 cases (78.1%), including 4 cases of combined duodenal injury, splenic injury, 6 cases of liver rupture in 8 cases, 4 cases of gastric contusion, rupture of a gastric cases, 4 cases of renal contusi
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