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中华危重症医学杂志(电子版) ›› 2024, Vol. 17 ›› Issue (05) : 423 -428. doi: 10.3877/cma.j.issn.1674-6880.2024.05.013

综述

闭合性胰腺外伤的关键决策流程——2022 年美国西部创伤学会指南更新解读
王凯1, 丁威威1,(), 杨超1, 刘宝晨1   
  1. 1.210002 南京,东部战区总医院(南京大学医学院附属金陵医院)急诊外科、战创伤救治中心
  • 收稿日期:2023-07-20 出版日期:2024-10-31
  • 通信作者: 丁威威
  • 基金资助:
    国家自然科学基金项目(82270587)东部战区总医院基础研究计划重点项目(22JCYYZD1)

Kai Wang, Weiwei Ding(), Chao Yang, Baochen Liu   

  • Received:2023-07-20 Published:2024-10-31
  • Corresponding author: Weiwei Ding
引用本文:

王凯, 丁威威, 杨超, 刘宝晨. 闭合性胰腺外伤的关键决策流程——2022 年美国西部创伤学会指南更新解读[J]. 中华危重症医学杂志(电子版), 2024, 17(05): 423-428.

Kai Wang, Weiwei Ding, Chao Yang, Baochen Liu. [J]. Chinese Journal of Critical Care Medicine(Electronic Edition), 2024, 17(05): 423-428.

图1 美国西部创伤学会评估和处理闭合性胰腺外伤患者的决策流程 注:CT.计算机断层扫描;MDCT.多排CT;MRCP.磁共振胰胆管成像;ERCP.经内镜逆行性胰胆管造影;AAST-OIS.美国创伤外科协会器官损伤评分;SMV.肠系膜上静脉;Y.是;N.否;A ~F 字母与文中各部分对应,A 为初始评估、B 为系列监测、C 为影像学检查、D 为手术探查、E 为治疗、F 为并发症、G 为入院后处理
表1 胰腺外伤AAST-OIS 分级
表2 闭合性胰腺外伤相关争议或研究空白
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