Of 26 cases of traumatic injury diagnosis and treatment of duodenal.docVIP

 PAGE \* MERGEFORMAT 12 Of 26 cases of traumatic injury diagnosis and treatment of duodenal Authors: LIAO Ze-fei, DONG Shao-liang, Zhang Cheng-hua, Yao Qing-yong, Haihua [Abstract] Objective To investigate the duodenal injury diagnosis and treatment. Methods A retrospective analysis of 26 cases of duodenal injury in clinical data. Results in 26 cases, all surgical treatment, 25 cases were cured, post-operative complications: two cases of duodenal fistula, pancreatic leakage l cases, gastrointestinal bleeding in 1 case, intra-abdominal abscess in 1 case. Conclusion Early diagnosis and early surgery, surgical options are simple and reasonable way to ensure the effective decompression of the duodenum is to improve the cure rate of the key measures of duodenal injury. [Keywords:] duodenal injury; diagnosis; surgery Duodenal injury is a severe intra-abdominal visceral injury, abdominal trauma represents about 3.7% ~ 5.0% [one]. Because the duodenum has a unique anatomical and physiological characteristics, as well as stomach, gallbladder, pancreas and other organs close is not easy to timely diagnosis after injury, but also easy to misdiagnosis, but also in dealing with complex surgery, postoperative complications up to 65 %, case fatality rate was 20%. In December 2004, I -2007 hospital 12 months totaled 26 cases of diagnosis and treatment of such patients are now reported as follows on their retrospective analysis. A clinical data 1.1 General Information 26 cases of patients 17 were males and 9 females, aged from 12 to 63 years, mean 33 years. Cause of the disease: 17 cases of traffic accident injuries, crush injury in 6 cases, knife stabbing two cases, fall injury cases l; onset to treatment time of 30 min ~ 3 d. Damage location: duodenal descending 19 cases, the level of Division 2 cases, l Division 2 cases, three cases of bulbar; simple injuries in 5 cases, combined pancreatic contusion in 6 cases, liver rupture in 4 cases, blood pneumothorax in 4 ca