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探讨小儿闭合性胰、十二指肠严重外伤的诊治特点。本组小儿闭合性胰断裂２例，十二指肠破裂４例，胰、十二指肠复合伤６例。手术探查并采取远端胰切除及十二指肠“憩室化”（Ｂｅｒｎｅ１９７４年首先提出，其手术方法为：修补十二指肠损伤，切除胃窦，关闭十二指肠，行胃空肠吻合术。同时可行胆总管Ｔ型管引流，再作十二指肠插管造口术及双侧迷走神经干切断术）。３例术前确诊，另９例为手术探查后确诊。治愈８例，死亡４例，其中２例与术式选择不当有关。术前确诊困难，主张早期探查。推荐注射美蓝法寻找断裂胰管。根据不同伤情选择创伤小、安全可靠的术式。
To investigate the diagnosis and treatment of closed traumatic pancreas and duodenum in children. The group of children with closed pancreatic rupture in 2 cases, duodenal rupture in 4 cases, pancreatic and duodenal composite injury in 6 cases. Surgical exploration and to take the distal pancreatic resection and duodenal “diverticulum” (Berne first published in 1974, the surgical methods are: repair duodenal injury, resection of the antrum, close the duodenum, gastrojejunostomy At the same time feasible T tube drainage of common bile duct, and then for duodenal intubation and bilateral vagotomy. 3 cases were diagnosed preoperatively, and the other 9 cases were diagnosed after surgical exploration. 8 cases were cured and 4 died, of which 2 cases were related to improper choice of surgical procedures. Preoperative diagnosis difficult, advocating early exploration. Recommended injection of methylene blue method to find the fracture of the pancreatic duct. According to different injuries choose trauma, safe and reliable operation.