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目的总结儿童闭合性胰腺损伤的诊治经验。方法回顾性分析近5年来收治1 0例儿童闭合性胰腺损伤的临床资料。结果3例非手术治疗,2例治愈,1例发生胰腺假性囊肿。7例手术治疗,I~II级6例,III级1例;术后发生胰瘘1例,假性囊肿1例,死亡2例,治愈5例。结论儿童闭合性胰腺损伤具有病死率高、合并伤多和诊断不易三大特点,早期诊断主要依靠临床表现,实验室及影像检查,有手术适应证时尽早剖腹探查,并根据损伤程度制定合理的治疗方案。
Objective To summarize the diagnosis and treatment of closed pancreatic injury in children. Methods A retrospective analysis of 10 cases of children with closed pancreatic injury in the past 5 years clinical data. Results 3 cases of non-surgical treatment, 2 cases of cure, 1 case of pancreatic pseudocyst. Seven cases were treated surgically. There were 6 cases of grade I ~ II and 1 case of grade III. One case of pancreatic fistula, one case of pseudocyst, 2 cases died and 5 cases were cured. Conclusions Children with closed pancreatic injury have the characteristics of high mortality, multiple injuries and difficult diagnosis. The early diagnosis mainly depends on the clinical manifestations, laboratory and imaging examination. When there are indications for surgery, laparotomy should be conducted as soon as possible, and according to the degree of injury, a reasonable Treatment programs.