Multiple organ injury in 36 patients with combined diagnosis and treatment of pancreatic injury.doc

 PAGE \* MERGEFORMAT 6 Multiple organ injury in 36 patients with combined diagnosis and treatment of pancreatic injury Of: Du Jianguo, Mao-Xing Yue, Wang Yibo [Abstract] Early diagnosis of pancreatic injury is very difficult to diagnosis and treatment of 36 cases of close observation is required, timely laparotomy for suspected cases is the key to early diagnosis of pancreatic injury. Should be based on location and degree of injury, take a different surgical approach, as early as possible “four Freshman support for “Comprehensive Therapy [Keywords:] Trauma: Pancreatic injury; complications Combined multiple organ injury in patients with pancreatic injury than a serious condition, location deep in the pancreas, the lack of specific symptoms early after injury and signs, and mostly associated injuries, resulting in the clinical diagnosis and treatment are more difficult. The author concluded in 2000 In January ~ December 2007 36 cases of pancreatic trauma treated cases of pancreatic injury to diagnosis and effective treatment. Clinical data 1 General Information of this group 29 males and 7 females; age from 4 to 70 years old, average 39.4 years old. Including 25 cases of road traffic injuries, stab wound in 2 cases, 4 cases of foot kicked, crushed by the collapse of objects in 3 cases, fall injury in 2 cases. intra-abdominal associated injuries in 31 cases (86.1%), which combined an organ injury in 21 cases, 2 and 2 or more organ injuries in 10 cases, up to 6 combined organ injury. 2 treatment completely removed the pancreas lost the living, the right handle associated injuries, whether the main pancreatic duct injury is the key to surgical choice. The 5 cases of pancreatic body and tail transection or severe contusion, pancreatic body and tail add the line splenectomy (which retained the spleen in 1 case); 4 cases of pancreatic neck fracture or deep laceration suspected fracture associated with the main pancreatic duct, pancreatic debridem