Details

Autor(en) / Beteiligte

• Zhao, Zhen-guo
• Li, You-sheng
• Wang, Jian
• Li, Gang
• Wang, Kai
• Xu, Zi-wei
• Zheng, Lei
• Li, Ning
• Li, Jie-shou

Titel

Damage control surgery for pancreatic injuries after blunt abdominal trauma

Ist Teil von

• Chung-hua wai kʿo tsa chih, 2012-04, Vol.50 (4), p.299-301

Ort / Verlag

China

Erscheinungsjahr

2012

Quelle

MEDLINE

Beschreibungen/Notizen

• To summarize the management of pancreatic injuries after blunt abdominal trauma. The clinical data of 42 patients with blunt pancreatic injury admitted from January 2001 to December 2010 was analyzed retrospectively. There were 38 male and 4 female patients, aging from 13 to 65 years with a mean of 31 years. The organ injury scaling of Committee of the American Association for the Surgery of Trauma (AAST grade): grade I in 3 patients, grade II in 12 patients, grade III in 9 patients, grade IV in 13 patients and grade V in 5 patients. The mean injury severity score was 27 ± 21. Patients above AAST grade II underwent peritoneal drainage and "three neostomy" (gastrostomy, jejunostomy and gallbladder) according to damage control theory. Thirty-eight patients got abdominal CT scanning with a positive rate of 79.9% (30/38). Forty patients underwent surgical procedures, and 2 patients with non-operative management. The surgical procedures include peritoneal drainage and "three neostomy" in 32 patients, pancreas sutu