十二指肠外伤16例临床分析

目的探讨十二指肠外伤的早期诊断、手术方式及并发症的预防。方法回顾性分析我院1995年1月～2007年1月16例十二指肠外伤病例，对其外伤史、手术方式及预后情况加以分析总结。结果14例治愈，其中6例出现并发症，1例行十二指肠修补，术后因霉菌性败血症感染性休克抢救无效死亡，1例行胰头十二指肠切除术，术后因多脏器功能不全死亡。结论十二指肠损伤易造成漏诊，力争早期发现、早期手术，合理手术治疗直接影响患者的预后，同时术后需预防各种并发症的发生。

Clinical Analyse of 16 Cases with Duodenal Injury

Objective： To research the early diagnosis, surgical methods, and complication prevention of duodenal injury. Methods： 16 cases with duodenal injury were analysed retrospectively, and were summarized in their injury history, surgical methods, and prognosis. Results： 14 cases were cured, among them 6 cases had complications, one case died of mycotic septicemia,and one of MODF. Conclusion： duodenal injury was easily missed diagnosis. Early diagnosis,early operation and appropriate surgical methods influence on the prognosis directly. The complications after operation should be prevented actively.