腹部创伤705例分析  

Intra-abdominal Injuries ;analysis of 705 patlents.

作　　者：高劲谋[1] 李帮春[1] 张奎[1] 田显扬[1] 

机构地区：[1]重庆市急救医疗中心创伤科

出　　处：《中国实用外科杂志》1995年第11期657-659,共3页Chinese Journal of Practical Surgery

摘　　要：本文报告作者单位７年半时间收收治腹部创伤７０５例。多发伤占５８％。闭合伤４５４例，开放伤２５１例。半数来院有休克，剖腹手术５８５例。总病死率为８．８％，腹腔穿刺阳性或体征明显即剖腹；腹膜已破的穿透伤大多手术，因胃肠伤污染时间延Ｋ造成的危害远大于阴性探查。肝后静脉损伤仍为腹伤治疗的难题，填塞止血法为一可取的选择。uring last 7 years, 705 patients with intra-abdominal injuries were treated in our unit. The caseswith polytrauma accounted for 58% of this group.Four hundred fifty-four cases had closed wounds and251 were open. Half of all them were in shock on admission. In this study, 585 underwent laparotomy.Overall mortality was 8.8%. Positive peritoneal tap orabdominal signs warrant surgical intervention. Mostcases with penetrated peritoneum underwent laparotomy, for prolonged contamination due to gastro-intestinal rupture is more harmful than negative exploration.Management of injuries of the retrohepatic veins continues to be an unresolved problem. Liver packing is awell accepted technique.

关 键 词：腹部损伤 多发伤 创伤 病例分析 

分 类 号：R656[医药卫生—外科学]