Diagnosis and treatment of pancreatic injury in 46 patients clinical analysis.docVIP

 PAGE \* MERGEFORMAT 7 Diagnosis and treatment of pancreatic injury in 46 patients clinical analysis Of: Cheng Xuebin, button Bolin, Gong Jianping [Abstract] of 46 cases of pancreatic injury diagnosis and treatment. Pancreatic injury early, preoperative diagnosis is difficult, on pancreatic injury is suspected, surgical exploration as soon as possible and in accordance with pancreatic surgery to choose a reasonable way. To maintain unobstructed drainage, postoperative nutritional support to strengthen and minimize complications. [Keywords:] pancreatic injury; diagnosis; treatment Pancreatic injury was the most serious abdominal injury, the incidence rate of the abdominal injury 1% to 3%, mortality rate was 20% [1], and can cause a number of serious complications. This group reported the treatment of 46 cases of pancreatic injury experience. Clinical data 1 General information 1994 to 2007 in our hospital were treated in 46 patients with pancreatic injury, 33 cases of males and 13 females; aged from 12 to 59 years. 36 cases of closed abdominal injury, open abdominal injuries in 10 cases. Injuries to the hospital for 30 minutes to 2 days. to hemorrhage as the main symptom in 28 cases, and the performance of different degrees of shock, blood pressure (95.3 + -18.7) / (54.6 + -8.3) mmHg, heart rate of 140 serious cases / min, delirium; The main symptoms in 18 cases of peritonitis. 2-line diagnosis and treatment of 10 cases of B-ultrasound, found that only 2 cases of pancreatic injury, diagnosis rate of 20%, row CT examination in 16 cases, 10 cases of diagnosis of pancreatic injury (pancreatic contour were incomplete, broken, and peripancreatic hemorrhage, effusion), diagnosis rate of 62.15%. The patients had a diagnosis of 25 cases of abdominal puncture, the positive rate of 100%, peritoneal fluid amylase test line in 10 cases positive. by the United States Trauma Surgery (AAST) grade five Standard [2], level in 22 cases, 10 cases, 8 cases,