Clinical analysis of 16 cases of duodenum rupture
- VernacularTitle:外伤性十二指肠破裂16例临床分析
- Author:
Dong ZHONG
- Publication Type:Journal Article
- Keywords:
Wounds and injuries;
Duodenum;
Rupture;
Surgical procedures,operative
- From:
Chinese Journal of Primary Medicine and Pharmacy
2006;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the cognition of clinic characteristics about traumatic rupture of duodenum.Methods 16 cases of duodenal trauma were retrospectively analyzed.Results The history of trauma in midsection,ache in the right of midsection and waist aggravated progressive,clear and fixed ache in the right of midsection when pressed,positive abdominocentesis,the examination of ultrasound B and X-ray and increasing of serum amylase were helpful to diagnose.On the grounds of the traumatic condition of duodenum,8 cases were done with primary repair,3 cases with resection of peclunculated intestinal wall,1 case with cogbill techniques for duodenal diverticul arization,2 cases with Roux-en-Y duodenojejunostomy,2 cases with resection of partial duodenum.15 cases were cured and 1 case died.Conclusion Be familiar with the clinic characterstic about traumatic rupture of duodenum,early diagnosis and choosing suitable management for duodenal injury can increase the curative rate.
