การใช้ Octreotide ในผู้ป่วยบาดเจ็บที่ดูโอดีนั่ม

รายงานผู้ป่วย

บทคัดย่อ

          A 41 years old, Thai man, presented with duodenal injury resulting from falling from height. The clinical sign was closely observed, and decision making was dome 48 hr. after initial impact. Intraoperative finding showed the perforation of the second part of the duodenum. This injury was classified as grade 3 duodenal injury. The standard treatment is a repairing procedure plus a gastric diversion ; but in this case, we used only a simple repair (repairing procedure) plus a medical diversion. Octreotide was used as a medical diversion by continuous infusion for 13 days. The result of this treatment was satisfactory. Duodenal fistula was not found. Only wound infection was presented as a minor complication. The patient was com· pletely recovered within 26 days after the injury.