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Their ages at operation were between 5 hours and 8.5 years, with a median of 4 days. Surgical treatment included duodenojejunostomy in nine, duodenoduodenostomy in five and duodenotomy with duodenoplasty in one.

病人手术时的年龄介於5小时大与8岁半之间,9个人接受十二指肠空肠造口吻合术,5个人接受十二指肠与十二指肠吻合术,1个人接受十二指肠切开术和十二指肠造形术。

The expression level of cAPN mRNA in lung,glandular stomach and jejunum were higher than that in other tissues,and the expression level of it in bursa of Fabricius and spleen were lower than that in other.

结果显示,随着日龄增加,肝、脾、法氏囊、回肠、肾等组织中的cAPN表达量相对稳定,肺、腺胃、空肠等组织中的cAPN表达量呈现持续下降趋势,而十二指肠中的cAPN表达量持续上升,但盲肠、空肠中的cAPN表达量规律性不强且波动较大。

The beginning portion of the small intestine, starting at the lower end of the stomach and extending to the jejunum.

十二指肠小肠的开始部分,开始于胃的底部,伸入空肠

The biomechanics behavior of pig such as duodenum and jejunum are studied and a formulation of the stress-strain relation is presented.

研究了猪十二指肠和空肠的生物力学性能,结果表明:其应力-应变关系为指数函数关系。

objectiveto investigate the diagnosis and treatment of traumatic duodenal rupture.methodthe clinical data of 13 patients with traumatic duodenal rupture hospitalized from may 1991 to december 2008 were retrospectively analyzed,and the material cause was automobile accident mainly.resultsin these 13 patients,after hospitalization,6 cases were diagnosed in 3 hours,4 cases were diagnosed in 24~72 hours,and 3 cases were diagnosed after 72 hours.three cases with duodenal cleft repair,2 cases with duodenal ostomy,2 cases with duodenum and jejunum roux-en-y anastomosis,1 case with duodenal diverticular surgery,1 case with meliorative duodenal diverticular surgery,1 case with duodenal broken ends closure and anastomosis of stomach with jejunum,1 case with duodenal distal closure and anastomosis of duodenal local with jejunum,and 2 cases with resections of pancreas duodenum.after the operation,6 cases (46.2%) appeared some complications of wound infection,duodenal fistula,digestive tract hemorrhage,pancreatic fistula,abdomen infection and so on.two cases (15.4%) died from multiple system organ failure and septic shock.conclusionthe early diagnosis and correct operation style selection are the keys for duodenal rupture.

目的:探讨外伤性十二指肠破裂的诊断和治疗方法。方法:回顾分析外伤性十二指肠破裂患者13例临床资料。结果:入院后3 h内确诊6例,24~72 h内确诊4例,72 h后确诊3例。3例行十二指肠裂口修补,2例行十二指肠造瘘,2例行十二指肠空肠roux-en-y吻合,1例行十二指肠憩室化手术,1例行改良十二指肠憩室化手术,1例行十二指肠两断端关闭、胃空肠吻合,1例行十二指肠远端关闭、近端与空肠端侧吻合,2例行胰十二指肠切除术。术后6例(46.2%)出现切口感染、十二指肠瘘、消化道出血、胰瘘或腹腔感染等并发症,2例(15.4%)患者死亡,分别死于多器官系统衰竭和感染中毒性休克。结论:早期诊断与正确的术式选择是成功救治外伤性十二指肠破裂的关键。

RESULTS: The median distance from the duodenojejunal flexure to the loop stoma was 80 (range 30-170) cm.

结果:袢式造瘘与十二指肠空肠返折处的平均距离为80 cm (30~170cm )。

The primary repair and Roux-en-Y duodenojejunostomy and modified Cogbill's techniques for duodenal diverticularization are practical operation.

十二指肠损伤的早期诊断及治疗是至关重要的,十二指肠修补术、十二指肠空肠Roux-en-Y吻合术和改良十二指肠憩室化手术是治疗十二指肠损伤的实用方法。

Early dignosis and treatment for duodenal injury are very important. The primary repair and Roux-en-Y duodenojejunostomy and modified Cogbill's techniques for duodenal diverticularization are practical operation.

十二指肠损伤的早期诊断及治疗是至关重要的,十二指肠修补术、十二指肠空肠Roux-en-Y吻合术和改良十二指肠憩室化手术是治疗十二指肠损伤的实用方法。

Primary repair and Roux-en-Y duodenojejunostomy and Modificed Cogbill's technigues for diverficalization are practical operation.

十二指肠修补术、十二指肠空肠Roux-en-Y吻合术和Cogbill改良憩室化手术再简化手术是治疗十二指肠损伤的实用方法。

Methods The clinical and pathological data of 12 cases with peripapillary diverticulum treated by RouxenY reconstruction after gastrectomy were analysesd retrospectivelyResults The condition of cholangotis was gone on all patients postoperatively.

对12例采用胃部分切除胃空肠RouxenY吻合旷置十二指肠病人的临床病理资料进行分析。结果术后全部病人反复发作的胆管炎症状消失,无严重并发症。

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