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目的:报道7例小儿胰腺损伤的临床表现、诊断方法及治疗原则。方法:1981年来治疗7例胰腺损伤,4例单纯损伤中3例保守治疗,1例手术外引流;2例分别伴有脾破裂及胃穿孔,行脾切除及胃穿孔修补;1例胰腺颈体部横断伴十二指肠断裂行胰腺远、近端与空肠端端、端侧 Roux-en-Y 吻合、胃空肠吻合。结果:随访3个月至14年,疗效满意。行保守治疗中有1例发生假性胰腺囊肿,6个月时自行消失;2例胰瘘在引流及应用 TPN 后33天及49天痊愈。结论:对腹部外伤,腹痛伴持续血清淀粉酶升高的患儿需行腹部 B 超及 CT 检查,根据胰腺损伤的范围和程度采用不同的治疗方法。
Objective: To report the clinical manifestations, diagnosis and treatment of 7 cases of pediatric pancreatic injury. Methods: 7 cases of pancreatic injury were treated in 1981, 3 cases were treated conservatively in 4 cases and 1 case was treated by external drainage. 2 cases were accompanied by splenic rupture and gastric perforation, splenectomy and gastric perforation respectively. One case of pancreatic neck Department of transection with duodenal rupture distal pancreas, proximal and jejunum end, Roux-en-Y end anastomosis, gastrojejunostomy. Results: The follow-up of 3 months to 14 years, with satisfactory results. In conservative treatment, 1 case had pseudocapillary cyst and disappeared at 6 months. 2 cases of pancreatic fistula healed after 33 days and 49 days after drainage and application of TPN. Conclusion: Abdominal trauma, abdominal pain with persistent serum amylase increased in children with abdominal B-ultrasound and CT examination, according to the extent and extent of pancreatic injury using different treatment methods.