外伤性十二指肠损伤诊治探讨(2)
第1页 |
参见附件(1360KB,2页)。
总之,十二指肠损伤术后目前仍有较高的并发症和病死率,只要早期诊断并选择合理的手术方式,有效十二指肠减压和术后肠外营养,联合应用抗生素,大大的减少了并发症的发生,提高了治愈率[11]。
参考文献
[1]Timaran CH, Martinez O, Ospina JA. Prognostic Factors and Management of Civilian Penetrating Duodenal Trauma. J Trauma. 1999, 47: 330-5
[2]Jansen M, Du Toit DF, Warren BL. Duodenal injuries: surgical management adapted to circumstances. Injury. 2002, 33(7): 611-5
[3]Cogbill TH, Moor EE, Feliciano DV, et al. Conservative management of duodenal trauma: a multicenter perspective. J Trauma. 1990, 30(12): 1469-75.
[4]王文龙,郑英健.闭合性十二指肠损伤的诊断与治疗.腹部外科,1998.11(1):63
[5]LucasCE.Diagnosisandtreatmentofpancreaticandduodenalinjury .SurgClin NorthAm,1997.57:49
[6]吴阶平,裘法祖.黄家驷外科学,第5版.北京:人民卫生出版社,1994,1025-1026.
[7]Brotman, S, Cisternino, S, Myers, RA, Cowley, RA. A test to help diagnosis of rupture in the injured duodenum. Injury 1981; 12, 464 5.
[8]Walley, BD & Goco, I. Duodenal patch grafting. Am J Surg 1980; 140, 706 8.
[9]Jones, SA, Gazzaniga, AB, Keller, TB. The serosal patch. A surgical parachute. Am J Surg 1973; 126, 186 96.
[10]Wilson, RF. Injuries to the pancreas and duodenum. In: Wilson, RF, ed. Handbook of Trauma, Pitfalls and Pearls. Philadelphia, Pennsylvania: Lippincott Williams & Wilkins, 1999: 381 94.
[11]谢跃生.十二指肠损伤7例报告.中国实用外科杂志,2003,23(5):260
您现在查看是摘要介绍页,详见PDF附件(1360KB,2页)。