目的：探讨治疗胰腺损伤的术式选择及危险并发症的防治。方法：71例中29例行胰腺清创缝合引流术，17例行胰体尾切除、脾切除术，4例行胰体尾切除术，17例行胰体尾空肠Roux-Y式吻合术，2例行胰管吻合术。结果：71例中62例治愈，9例死亡（12.7％）。结论：Ⅲ～IV级胰腺损伤术后的严重并发症主要是胰肠吻合瘘，在术式上应选择切除远端胰腺及脾脏，避免胰肠Roux-Y式吻合术及胰管吻合。%Objective To explore proper surgical procedures and prevention of severe complications of pan-creatic injury. Methods In 71 cases of pancreatic injury, 29 cases received pancreatic debridement and drain-age, 17 cases received pancreatic body and tail resection with splenectomy, 4 cases received pancreatic body and tail resection. 17 cases were treated by Roux-Y type pancreaticojejunal anastomosis, and 2 cases re-ceived pancreatic duct anastomosis. Results Sixty two patients were cured, and 9 patients died (12.7%). Conclusion The major serious complications after operation of III~IV grade pancreatic injury are main- ly pancreaticojejunal anastomosis fistula. The distal part of the pancreas and spleen should be resected resolute-ly but not with the Roux-Y type pancreaticojejunal anastomosis or pancreatic duct anastomosis.
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