十二指肠损伤是一种严重的腹内脏器损伤 ,约占腹内脏器损伤的 3%～ 5 % [1] 。随着经济的发展 ,交通车辆的增加 ,交通事故逐年增加 ,其发病率有明显增加趋势。因十二指肠位置隐避其损伤后症状不典型 ,且常合并其它部位或器官的损伤 ,故早期诊断与治疗比较困难 ,术后并发症较多 Duodenal injury is a serious intra-abdominal organ injury, accounting for about 3% to 5% of abdominal organ injury [1]. With the development of economy, the increase of traffic vehicles and the increase of traffic accidents year by year, the incidence of this disease has obviously increased. Because duodenal location to avoid the injury after the atypical symptoms, and often associated with other parts or organ damage, it is more difficult to diagnose and treat early, postoperative complications more