[摘要] 目的 探讨胰腺损伤的诊断和治疗方法。方法 回顾性分析1980年至2002年收治的38例胰腺损伤的临床资料。结果 32例治愈，6例死亡，病死率15.8%，其中3例死于严重多发伤。发生胰瘘、肠瘘在内的各类并发症8例。结论 胰腺损伤早期诊断困难，应保持警觉，综合判断。按损伤类型及胰腺损伤情况，选择适当的术式，以提高生存率，减少并发症的发生。

    [关键词] 胰腺损伤; 治疗

    Diagnosis and treatment of pancreatic trauma: a report of 38 cases

    LAI Xiang-qun, LU Wei-liang

    (Department of Emergency, Xingning People's Hospital, Xingning 514500, Guangdong Province, China)

    Abstract: Objective To investigate the methods for diagnosis and treatment of pancreatic trauma. Methods Clinical data of the 38 patients with pancreatic trauma admitted to our hospital from 1980 to 2002 were analyzed retrospectively. Results Cure was achieved in 32 cases. Death was found in 6 cases (fatality rate: 15.8%), including 3 cases of serious multiple injuries. Complications, including fistula and peritoneal infection, were found in 8 cases. Conclusion Early diagnosis of pancreatic trauma is difficult, so alertness and comprehensive judgement are the key factors in the diagnosis of pancreatic injury. The proper option of surgical approaches based on the injury types and the condition of pancreatic trauma may be beneficial for the improvement of survival rates and decrease of occurrence of complications. ......