关键词: 胰腺损伤, 非手术治疗, 儿童

Abstract: Objective：To summarize the experience of nonsurgical treatment in the treatment of pancreatic trauma in children.Methods：The data of 13 cases of pancreatic trauma from February 2013 to October 2018 were retrospectively analyzed.Results：All 13 cases underwent enhanced CT scan of the pancreas and accorded with the diagnosis.According to the grading table made by the American Society of Traumatic Surgery，there were 4 cases in Grade I，4 cases in Grade II，3 cases in Grade III，2 cases in Grade IV and 0 cases in Grade V.All cases were treated conservatively by antiinfection，fasting，gastrointestinal decompression，total parenteral nutrition，enzyme inhibition，partial puncture and drainage，or ERCP stent drainage（1 case）.All cases were cured without open surgery and no recurrence.Conclusion：The ability of repairing pancreas in healthy children is strong.Most children with pancreatic trauma are cured by conservative treatment.Even pancreatic trauma with rupture of the main pancreatic duct of the head of the pancreas can be cured by nonopen surgical treatment such as external drainage or combined with intraductal stents.

Key words: pancreatic trauma, nonsurgical treatment, children