The management of pancreatic trauma in the modern era
The management of pancreatic trauma in the modern era
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DOI：
10.1016/j.suc.2007.08.007
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发表时间：
2007-12-01
影响因子：
3.1
通讯作者：
Feliciano, David V.
中科院分区：
文献类型：
--
作者：
Subramanian, Anuradha;Dente, Christopher J.;Feliciano, David V.
胰腺创伤给创伤外科医生提出了具有挑战性的诊断和治疗难题。胰腺损伤与报告的发病率接近45%有关。如果治疗延迟，这些比率可能会增加到60%。主胰管的完整性是胰腺损伤后预后的最重要决定因素。未确诊的导管破裂会导致继发感染、瘘管、液体积聚以及在重症监护室和医院的长期停留。本文分析了流行病学，诊断方法，非手术和手术治疗的选择，以及钝性和穿透性胰腺损伤后的结局。
Pancreatic trauma presents challenging diagnostic and therapeutic dilemmas to trauma surgeons. Injuries to the pancreas have been associated with reported morbidity rates approaching 45%. If treatment is delayed, these rates may increase to 60%. The integrity of the main pancreatic duct is the most important determinant of outcome after injury to the pancreas. Undiagnosed ductal disruptions produce secondary infections, fistulas, fluid collections, and prolonged stays in the intensive care unit and hospital. This article analyzes the epidemiology, diagnostic approaches, options for nonoperative and operative management, and outcome after blunt and penetrating pancreatic trauma.