THE CLINICAL FEATURES AND DISCUSSION OF SURGICAL OPERATION FOR DUODENAL TRAUMA_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

GAO Peng.

Department of General Surgery, First People’s Hospital of Jining City, Jining 272111;

Corresponding author：

Keywords：

Duodenal injury Diagnosis Surgery operation

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Objective To study the clinical features of duodenal trauma and its surgery to improve the level of diagnosis and treatment.
Methods Methods of diagnosis and results of surgical treatment were analysed retrospectively of 35 cases of duodenal trauma.
Results The positive rates of abdominal X-ray and abdominal puncture were 32.0%, 13.3% respectively. The extraperitoneal duodenal injuries occured in 30(85.7%) cases. 25(71.4%) cases were complicated by additional intraabdominal organ injuries. The rate of failure to diagnose intraoperatively was 11.4%. The postoperative complication rate was 37.1% and the death rate was 11.4%.
Conclusion Duodenal trauma is characteristic of low diagnostic rate preoperatively, high failure rate intraoperatively and most of the cases are complicated by other intraabdominal organ injuries, so both the complication and mortality are high. If the diagnosis is certain, surgery should been taken suitably. This is the key to improve prognosis. The procedure performed is based on the condition of duodenal injuries.

Citation： GAO Peng.. THE CLINICAL FEATURES AND DISCUSSION OF SURGICAL OPERATION FOR DUODENAL TRAUMA. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2001, 8(3): 156-158. doi: Copy

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1. 陈福真，刘英文.十二指肠损伤的诊断与治疗〔J〕.中国急救医学，1988； 6(4)∶342.
2. Corley RD, Norcross WJ, Shoemaker WC. Traumatic injuries to the duodenum: a report of 98 patients 〔J〕. Ann Surg, 1975； 181(1)∶92.
3. Snyder WH, Weigelt JA, Watkins WL, et al. The surgical management of duodenal trauma 〔J〕. Arch Surg, 1980； 115(3)∶422.
4. Flint LM. Analysis of common missonceptions in diagnosis and treatment of duodenal injury 〔J〕. Am Surg, 1980； 191(5)∶692.
5. 钱章选，朱大根.外伤性十二指肠损伤治疗对策探讨〔J〕.腹部外科，1998； 11(2)∶65.
6. 王炳煌，文慧媛，十二指肠损伤的诊断与术式选择〔J〕.中国实用外科杂志，1991； 11(7)∶371.
7. 张建国，李伟建，袁玉坤等.十二指肠损伤的特点及其诊断和治疗〔J〕.中华普通外科杂志，1999； 14(3)∶198.
8. Asensio JA， Felicidno DR, Britl D, et al. Management of duodenal murmes 〔J〕. Cur Prob in Surg, 1993； 30(8)∶1026.
9. 何亮家，陈福真，郑荣贵.闭合性十二指肠损伤的诊断和治疗〔J〕.实用外科杂志，1985； 5(10)∶572.
10. Behrman SW, Bertken KA, Stefanacci HA, et al. Breakdown of intestinal repair after laparotomy for trauma:incidence, risk factors, and strategies for prevention 〔J〕. J Trauma, 1998； 45(2)∶227.
11. Berne CJ, Donovan AJ, White EJ, et al. Duodenal “Diverticulization” for duodenal and pancreatic injury 〔J〕. Am J Surg, 1974； 127(5)∶503.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

THE CLINICAL FEATURES AND DISCUSSION OF SURGICAL OPERATION FOR DUODENAL TRAUMA

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