十二指肠损伤的处理及死亡原因分析.docxVIP

十二指肠损伤的处理及死亡原因分析 Treatment of duodenal injury and analysis of the cause of death Update date: 2011-06-16 Chen yu zheng zhaoxu feng 【 abstract 】 objective to discuss the problems of duodenal injury and treatment and the lessons to be learned. Methods the cl inical features, treatment methods and causes of death were analyzed in the early stage of duodenal injury. Results 27 patients were treated with surgical treatment, 23 were cured and 4 died. The mortality rate was 14.8% and the complication rate was 44.4% (12/27)? Conclusion the key to the success or failure of the treatment of duodenal injury is to master the early operation and select the appropriate procedure. It is a good way to treat the joint application of intestinal diverticulum and intestinal diverticulum in the case of severe injury. The main cause of death in patients is misdiagnosis and omissiation, and the improper selection of surgery causes intestinal fistula, infection and bleeding? [keywords] trauma and injury; duodenum The surgical treatment Analysis of the mortality of duodenal injuries and its treatment CHEN Yu, ZHENG Chaoxu, et al. The First Affiliated Hospital of Sun Yatsen University of Medical Sciences, Guangzhou 510080, China [Abstract] Objective To explore the treatment of duodenal injuries? Methods The early clinical characters, the treatment and cause of deaths in 27 cases of duodenal injuries were analyzed retrospectively. Results All the 27 cases underwent surgical treatment? Among the 27 cases, 23 were cured, and 4 died after the operation. The mortality rate was 14. 8%, and the postoperative morbidity rate was 44.4%. Conclusions Succesive treatment of duodenal injuries depends on mastering early explorative indications of operation and selecting proper surgical management. The combination of primary repair with jejunal serosal patch and simplified duodenal diverticulation is a good choice of surgical treatment? The causes of death include preoperative and postoperative misdiagnosi