目的

探讨医源性胰腺损伤的早期诊断及预防措施。

方法

回顾性分析1990 年1 月至2003 年12 月收治的15 例医源性胰腺损伤患者的临床资料，研究其损伤的原因、早期诊断和治疗措施。

结果

病理性解剖改变及出血因素是医源性胰腺损伤主要原因。腹腔渗液淀粉酶及影像学检查有助于术后早期诊断，术中及时发现和术后综合治疗能提高医源性胰腺损伤治愈率。

结论

医源性胰腺损伤重在预防，及时早期诊治是提高疗效的关键。

Objective

To investigate the early diagnosis and precaution for iatrogenic injury of pancreas.

Methods

The clinical datum of 15 cases with iatrogenic injury of pancreas were analyzed retrospectively.

Results

The pathologic anatomical change and hemorrhage were the main reasons for iatrogenic injury of pancreas， ultrasound and determination of amylase for abdominal effusion made for early diagnosis. Discovery of the injury in operation and combined therapy after operation might improve the recovery rate.

Conclusion

It is crucial to prevent the iatrogenic injury of pancreas. Diagnosed as early as possible and suitable measures are the key point once injuries have taken place.