腹部闭合性损伤的早期诊断(附156例临床分析)  

The Early Diagnosis of Abdominal closed Injury

作　　者：杨少华[1] 陈少逸[1] 文军[1] 郭国湖[1] 林李波[1] 何新卫[1] 

机构地区：[1]汕头大学医学院第二附属医院普外科,广东汕头515041

出　　处：《河北医学》2005年第5期452-454,共3页Hebei Medicine

摘　　要：目的:探讨腹部闭合性损伤的早期诊断的方法。方法:回顾1990年至2003年我院收治156例腹部闭合性损伤的临床诊断资料。结果:156例腹部闭合性损伤病人中,腹腔穿刺诊断率,X线检查诊断率,B超及CT检查诊断率分别是91.3%,38%,84.6%。腹腔镜检查对腹部闭合性损伤诊断是安全,有效的方法。结论:诊断性腹腔穿刺是简单、安全、有效的诊断方法。X线检查,B超及CT检查具有较高诊断价值,但仍有一定误诊率,应结合临床表现及其他辅助检查。对腹部闭合性损伤后怀疑内脏损伤病人,血液动力学基本稳定者,腹腔镜检查将发挥重要作用。Objective: To make early diagnosis of occlusive abdominal injuries.Method:The clinical date of 156 cases with occlusive abdominal injuries admitted in hospital from 1990 to 2003 were reviewed and analysed. Results:The positive rate of abdominal puncture, X-ray, B type ultrasonography and CT was 91.3%,38% and 84.6% respectively, Laparoscopy in the diagnosis and treatment of occlusive abdominal injuries is accurate, safe and effective.Conclusion:Abdominal puncture is an effective, safe and simple diagnostic method。X-ray,B type ultrasonography and CT have important value for occlusive abdominal injuries, but there were still some delayed diagnosis in them.Modern laparoscopy would play an important role in those cases suspected of internal organs injury with hemodynamic stability after occlusive abdominal injuries.

关 键 词：腹部损伤 腹腔镜检查 诊断 

分 类 号：R656.1[医药卫生—急诊医学]