Diagnosis and treatment of duodenal injury.docVIP

 PAGE \* MERGEFORMAT 6 Diagnosis and treatment of duodenal injury [Keywords:] intestinal injury diagnosis and treatment of duodenal Duodenal injury is not uncommon, is a serious intra-abdominal organ injury, diagnosis and treatment are certain difficulties, high mortality. Therefore, the correct diagnosis and timely surgical treatment using reasonable means in the second intestinal injury is of great significance, now 16 patients in our hospital in patients with duodenal injury data reported below. 1 Clinical data 1.1 General Information June 1991 ~ June 2006, our hospital were treated 16 patients with duodenal injury, 11 males and 5 females, aged 14 to 67 years, mean 36 years old, accounting for the same period of blunt abdominal injury 11.68% of intestinal rupture. Injury: are blunt injuries, of which 9 cases of car accidents, heavy hit in 5 cases, falls in 2 cases. injury site: 2 cases of paragraph 1, paragraph 2 in 12 cases, 4 Section 2 cases. combined organ injury: rupture in 4 cases of pancreatic injury in 3 cases, liver rupture, 1 case of colon rupture in 1 case. surgical injury time from 2 ~ 87 h, an average of 17.4 h. 1.2 surgical suture repair alone in 2 cases, rupture of jejunal loop anastomosis mouth or Roux-en-Y anastomosis in 13 cases, 1 patient with pancreatic neck transection, the line is far ends of the pancreas and duodenal anastomosis rupture mouth , All patients recovered well, no anastomotic leakage, stenosis and other complications. 2 Discussion 2.1 Diagnosis of most in the retroperitoneal duodenum, a very close relationship with the surrounding organs, especially the second paragraph. When a blunt abdominal trauma duodenal rupture, due to the special nature of their anatomy, early diagnosis and treatment are there are certain difficulties, a slight delay or improper Treatment will bring disastrous consequences, it was reported mortality as high as 10% to 27.8% [1]. Therefore, in patients with blunt abdominal injury sh