【摘 要】
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笔者回顾性分析近8年收治的15例胰腺损伤病例的临床资料,胰腺损伤分级:Ⅰ级2例,Ⅱ级3例,Ⅲ级5例,Ⅳ级4例,Ⅴ级1例.15例患者均手术治疗.5例行局部清创引流.胰头侧近端缝扎,体
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笔者回顾性分析近8年收治的15例胰腺损伤病例的临床资料,胰腺损伤分级:Ⅰ级2例,Ⅱ级3例,Ⅲ级5例,Ⅳ级4例,Ⅴ级1例.15例患者均手术治疗.5例行局部清创引流.胰头侧近端缝扎,体尾部切除6例(其中行保留脾脏的胰体尾切除4例),胰头侧近端缝扎,远侧行胰空肠Roux-en-Y吻合2例.对1例Ⅴ级损伤行十二指肠憩室化手术;1例Ⅳ级损伤合并脾静脉、门静脉破裂致腹腔大出血休克死亡,未完成手术.14例痊愈.14例中并发创伤性胰腺炎1例,经非手术治疗痊愈.胰漏4例,经引流,善宁及联合使用抗生素治愈.提示早期诊断、术中
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