Etiology of duodenal trauma and its diagnosis and treatment
10.3760/cma.j.issn.1673-4904.2009.14.003
- VernacularTitle:十二指肠损伤的诊断和治疗
- Author:
Zhengmao LU
;
Xuchao XUE
;
Mouchun GONG
;
Jide HUA
;
Guoen FANG
- Publication Type:Journal Article
- Keywords:
Duodenal diseases;
Wounds and injuries;
Diagnosis;
Therapeutics
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(14):7-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the etiology of duodenal trauma and improve the result of its diagnosis and treatment. Methods The data of 28 cases with duodenal trauma during March 1968 to September 2007 was analyzed retrospectively. Results Twenty-two (78.6%) patients had blunt injuries. The rate of duodenal trauma and associated injuries was 21.4%(6/28)and 89.3% (25/28) respectively. The easiest injury part on the deseending part constituting was 46.4% (13/28) ,the secondary on the horizontal part constituting was 21.4% (6/28).The postoperative complication rate was 28.6% (8/28), the mortality rate was 3.6% (1/28), and the cure rate was 96.4% (27/28). Conclusions The incidence of blunt injuries is high compared with other kinds of duodenal trauma in China. It suggests that the early diagnosis, exploration proper surgical management,and intensive postoperative care are emphasized to reduce the mortality and complication rate.
