ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ HÌNH ẢNH CỦA NGƯỜI BỆNH CHẤN THƯƠNG TUỴ ĐƯỢC ĐIỀU TRỊ TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC GIAI ĐOẠN 2017 - 2022

Abstract

Objective: This study aims to describe the clinical, paraclinical, and imaging characteristics of patients with pancreatic trauma treated at Viet Duc University Hospital from 2017 to 2022. Methods: A retrospective study was conducted on 73 patients with pancreatic trauma from January 2017 to December 2022. Diagnosis was based on clinical presentation, imaging, or intraoperative findings. Data were collected and analyzed using SPSS 20.0 software. Results: The mean age of patients was 34.7 ± 15 years, with the 20–30 age group accounting for 30%. Males predominated (85%), with a male-to-female ratio of 5.6:1. The leading cause was traffic accidents (79.5%), followed by occupational accidents (9.6%) and domestic accidents (8.2%). The time to hospital admission exceeded 12 hours in 52.1% of cases. Hemodynamic instability at admission was observed in 21.9% of patients. The most common symptom was isolated abdominal pain (65.8%), while intra-abdominal bleeding occurred in 30.1%, with direct pancreatic hemorrhage in 8.2% of cases. Hematological tests showed that 20.5% of patients had hematocrit <30%, and leukocytosis (>10 G/L) was present in 86.3%. Serum amylase levels were elevated in 46.6% of patients, but 27.4% were not tested for amylase. CT scans identified 54.8% of patients with mild pancreatic trauma (grades I and II) and 45.2% with severe injuries (grades III, IV, and V). Associated injuries were found in 79.5% of cases, with solid organ injuries (57.5%) and extra-abdominal trauma (39.7%) being the most common. Conclusion: Pancreatic trauma predominantly affects young males, with traffic accidents being the leading cause. Clinical symptoms are nonspecific, making CT imaging essential for diagnosis. The high rate of associated injuries necessitates careful management and treatment strategies.