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1、十二指肠损伤19例治疗临床体会凌同标(广西柳城县人民医院545200)【摘要】目的：探讨分析十二指肠损伤的临床治疗方式及疗效。方法：19例患者全部属于闭合性损伤，其中14例是车祸引发的损伤，2例由于上腹挤压造成损伤，其余3例被钝器所伤。19例患者十二指肠发牛损伤的部位如下：9例降部,2例球部,4例水平部,2例升部,2例多发性损伤。5例合并脾脏破裂，4例合并肝损伤例合并结肠损伤例合并胰腺损伤,3例合并空肠损伤,2例合并肾脏损伤。结果：接受手术治疗之后，18例获得治愈，占总数的94.7%；1例死亡，占总数的5.3%。6例患者在术后引发不同的并发症，其中2例肠痿,1例胰痿,1例腹腔脓肿，2例多器官
2、功能衰竭。导致1例死亡的原因是患者存在肠痿，最终使多器官功能发牛衰竭。讨论：I•二指肠的牛理学特点、发生损伤的部位、解剖位置等都存在显著的特殊性。医护人员要时刻保持谨慎的态度，尽最大的努力降低漏诊的机率。十二指肠存在损伤将会对患者全身产牛较大的影响，所以在接受手术治疗之后，必须要进行高效的综合治疗，避免出现术后感染并及时补充肠内营养，只有这样才能获得令人满意的临床疗效。【关键词】十二指肠损伤19例治疗临床体会探讨分析【中图分类号】R656.6+4【文献标识码】B【文章编号】2095-1752(2012)12-0319-02Duodenaldamage19patientsforclinical
3、experienceLingtoblerliuchengcountypeople'shospitalin545200[Abstract]objective:tostudytheclinicaltreatmentofduodenaldamageandcurativeeffect.Methods:19casesofpatientsallbelongtoclosedinjury,the14ofthecaraccidentcauseddamageis,2casesofupperabdomenextrusionduetoinjury,therest3caseswerewoundedbytheblunt
4、.The19patientsduodenalhappenthesiteofinjuryasfollows:9casesofdropdepartment,2casesofball,4casesoflevel,2casesofrose,2casesofmultipleinjuries.5caseswithspleenrupture,4casesofcombinedliverdamage,and1casewithcolondamage,and1casewithpancreaticdamage,3casesmergerjejunumdamage,2caseswithkidneydamage.Resu
5、lts:aftersurgery,18casesofhealing,or94.7%ofthetotal;1casedeath,or5.3%ofthetotal.Sixpatientsinthecauseofdifferentcomplication,includingintestinalfistulain2cases,1cases'fistula,1caseabdominalabscess,2casesofmultipleorganfailure.Leadto1casesthecauseofdeathistherewithintestinalfistula,soastomakethefunc
6、tioninmultipleorganfailure.Discussion:thephysiologicalcharacteristics,happenduodenumthesiteofinjury,anatomicallocationandsoonallsign讦icantparticularity.Medicalpersonneltokeepacarefulattitude,tryourbesttoreducetheriskofmisdiagnosis.Duodenalexistonwholebodydamagepatientshasgreatereffect,soaftersurger
7、yaftertreatment,itisnecessarytocarryouteffectivetreatment,avoidpostoperativeinfectionandpromptlyaddedenteralnutrition,theonlywaytogetasatisfactoryclinicalcurativeeffect.【Keywords]duodenaldamage19patientsfor
