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KMID : 0376119830100020001
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Medical Journal of the Red Cross Hospital
1983 Volume.10 No. 2 p.1 ~ p.8
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Surgical Manifestation of Traumatic Duodenal and Pancreatic Injury
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尹英模/Yoon, Y.M.
文哲星/李瑞衡/孫鍾夏/Moon, C.S./Lee, S.H./Son, J.H.
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Abstract
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We had operated 10 patients upon at the departement of surgery of Seoul Red Cross Hospital which had proven to be the pancreaticoduodenal injuny from Januany 1979 to December 1981.
In this report, some concepts about diagnostic procedure and operative procedure of severe pancraticoduodenal injury are discussed. Conclusions are as follows;
1) The average age of traumatic pancreaticoduodenal injury was 24.2 years old and ratio of the male to female was 9 : 1.
2) The average duration of injury time to operation time was 14.8 hours and frequent age group was 1st decade.
3) Blunt trauma cases was 9 and penetrating Injury was 1.
4) The most frequent perforaiton site of duodenum due to blunt trauma was 2nd and 3rd portion and in pancreas, was head and body portion.
5) Under classification of duodenal Injury, class I Injury was the most frequent.
6) The most frequent symptoms of pancreatico-duodenal injury was sudden abdonmal pain, and followed by tenderness and rebound tenderness. Also, rapid pulsation was 10 cases and respiratory embrassement was 3 cases.
7) The useful diagnostic procedure was serum amylase within 6 hours after injury, and physical examination plus abdominal tapping plus simple abdominal X-Ray were the most accuracy of among diagnostic procedure other than, but also the method of use of gastrografin for UGI was accurate.
8) Also, the most salty method of duodenal injury (class 1). was duodenal divertization rather than smple closure and drainage procedure, but our experience was done most simple closure and drainage. procedure for class duodenal injury addition to sometimes gastroje junostorny:
9) The most freqency associated Injury was colon; especially Transverse colon, and next greater omental hematoma and followed by liver laceration and retroperitoneal hematoma.
10) Duration of hospital day was average 39.8days.
11) Patient state at the admission time was almost heavy drunken condition by alcohol.
12) Other problem of pancreaticoduodenal injury was pancreaticoduodenal fistula, pancreatic pseudocyst, blood transfusion, hyperalimentation,. but over all mortality rate of our experienced cases were 10%.
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