[摘要]目的 探讨腹部闭合性十二指肠损伤的早期诊断方法。方法 回顾分析了我院1962～2005年收治58例闭合性十二指肠损伤的诊断手段，包括腹部X线摄片、腹腔穿刺、腹腔灌洗、超声和CT检查。结果 受伤后24 h以内获诊治者50例，24 h后获诊治者8例。腹腔穿刺确诊2例，CT及B超确诊各4例。术前正确诊断10例，其余均为行剖腹探查时获诊。结论 对腹部闭合性十二指肠损伤高度警惕是早期诊断的前提，仔细探查是早期诊治的关键。联合运用多种辅助诊断方法有助于早期正确诊断。

    [关键词] 十二指肠损伤;腹部损伤;诊断

    EARLY DIAGNOSIS OF BLUNT DUODENAL INJURY

    CAI CHANG-JU

    (Department of General Surgery， Qingdao Municipal Hospital， Qingdao 266071， China)

    [ABSTRACT]ObjectiveTo study the early diagnosis of duodenal injury in closed abdominal trauma. MethodsFifty-eight cases of blunt duodenal injury treated in our hospital during 1962-2005 were analyzed. The diagnostic means included ab-dominal X-rays， abdominal puncture， abdominal washing， ultrasonography and CT. ResultsFifty cases were diagnosed within 24 hours ......