关键词: 胰腺损伤, 手术, 并发症

Abstract: 【Abstract】 Objective〓To summarize the experice of the diagnosis and treatment of pancreatic trauma. Methods〓The clinical data of 33 patients with pancreatic trauma treated in our hospital from 1997 to 2013 were collected for retrospective analysis. Results〓Among 33 cases, 26 cases were cured (79%) and 7 dead (21%). Twenty-one cases were treated with surgical operation, in whom the postoperative complications included nine cases of fistula of duodenum,one enteric fistula,two intra-abdominal hemorrhage,.one multiple organ failure and one gastrointestinal bleeding. Two cases were dead during the operation because of hemorrhage caused by abdominal open wound with inferior vena cava injury..Five case were dead postoperatively,.two with sepsis,.two with intra-abdominal hemorrhage and one with multiple organ failure. Of patients with grade I~II of pancreatic trauma, one case was dead and the patients with grade Ⅲ~Ⅴ,.6 case were dead. Conclusion〓It is crucial to early diagnosis and proper treatment for pancreatic trauma with high complications and high mortality, especially injured main pancreatic duct.

Key words: Pancreatic trauma, Operation, Complications