Objective: Describe some characteristics of clinical and subclinical and evaluate the results of surgical treatment of duodenal injuries. Material and Method: Retrospective study describes 22 cases of duodenal rupture caused by closed abdominal trauma surgery treated at Nghe An general hospital from 01/2008 to 12/2012. Results: There are 22 cases including 20 Male, 2 Female
mean age 38.1 + or - 10.5 (20 - 61) years old. The time from injury to surgery average of 13.45 + or - 5.89 (4-30) hours, 1 (4.5 percent) cases in the hospital in a state of shock, 17 (77.3 percent) cases had signs of infection, 1 (4.5 percent) cases in the hospital in a state of shock, 17 (77.3 percent) cases had signs of infection. 9.1 percent had sickle slightly below the diaphragm on the radiograph, abdominal ultrasound epidemic 90.9 percent, capture CLVT having 31.2 percent gas and free fluid abdominal, retroperitoneal gas 12.5 percent, 31.2 percent retroperitoneal outbreak, 12.5 percent had images of duodenal traumatrauma. Location is the most common injury in second part of duodenum. There are two cases of lesions in the DII-III together with broken head of the pancreas. 2 patients had been duodenal pancreatic head surgery, 4 patients (18.2 percent) connected with Y jejunal- duodenal loop surgery, duodenum remaining stages are accompanied by surgical Lowering transformers. The mean operative time was 135.9 + or - 53.2 (50 - 270) min. There are 3 (13.6 percent) cases of gastrointestinal complications leak and 1 (4.5 percent) deaths. The mean hospital stay was 10.7 + or - 2.4 (7 - 15) days. Conclusion: Duodenal trauma is less common, clinical diagnosis and surgery was not easy to get stuck in the provincial hospitals, complication rates and mortality remains high. If diagnosed early and appropriate treatment for each specific case, it will reduce the risk of death and complications after surgery.