乌克兰战争期间胰腺战场受伤
Volodymyr M Kopchak1, Yuriy O Khilko1, Liudmyla O Pererva1
1Department of Pancreatic and Bile Ducts Surgery, A.A. Shalimov National Institute of Surgery and Transplantology, Kyiv 03126, Ukraine.
Military medicine
|April 2, 2025
概括
战场胰腺损伤 (BPIs) 是罕见的,通常是由爆炸引起的. 大多数BPI病例可以通过排水治疗,但小肠和肋骨损伤可能会增加并发症和需要口腔.
科学领域:
- 创伤外科 手术 创伤外科
- 外科胃肠道外科手术
- 军事医学 军事医学
背景情况:
- 战场胰腺损伤 (BPI) 是一种罕见且具有挑战性的疾病,发表的数据有限.
- 这项研究分析了在俄罗斯全面入侵乌克兰期间治疗BPI的初始经验.
研究的目的:
- 报告战场胰腺损伤治疗的初始经验和结果.
- 识别BPI患者的损伤模式,治疗策略和相关并发症.
主要方法:
- 追溯分析2022年2月至12月期间接受BPI治疗的军人医疗记录.
- 利用XLSTAT的变量表征工具来评估伤害变量之间的关联.
主要成果:
- 在252名患者中有11名 (4.4%) 患有BPI,爆炸伤害是最常见的原因.
- 胰腺头部受伤最常见 (45.5%),其次是远部胰腺受伤 (36.4%).
- 干预/手术排水是主要治疗方法;同时发生的小肠或肋骨骨折与增加的口腔形成,手术和胰腺抽有关.
结论:
- 战场胰腺损伤通常与爆炸性创伤有关,可能涉及胰腺头部.
- 同时的小肠损伤和肋骨骨折增加了诸如口腔形成和胰腺囊等并发症的风险.
- 非切除性管理,包括干预或手术排水,对于大多数BPI病例是有效的.
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