腹部方向盘伤56例  

Steering wheel injury in abdomen in 56 cases

作　　者：王仕明[1] 徐静[1] 许舒波 

机构地区：[1]新疆生产建设兵团农四师医院外一科,伊犁835000 [2]新疆维吾尔自治区伊犁州友谊医院外一科

出　　处：《中国实用医刊》2010年第2期41-42,共2页Chinese Journal of Practical Medicine

摘　　要：目的 总结腹部方向盘伤的临床特点及诊治经验.方法 对56例腹部方向盘伤患者的临床资料进行回顾性分析.结果 56例中多发脏器损伤52例,其中易受损伤组织器官情况:十二指肠18例,胃、空肠、回肠和结肠16例,肝脏和胰腺11例,脾脏8例.创伤性腹膜后血肿11例.术前确诊36例,术中确诊16例,漏诊4例.受伤至手术时间:2～78 h,平均4 h.痊愈36例,转院或自动出院12例,死亡8例;术后严重并发症17例.结论 腹部方向盘伤多发伤常见,十二指肠和胰腺易受损伤,早期诊断、损伤控制性外科处理,有效腹腔引流和营养支持是提高救治效果的关键.Objective To summarize clinical characteristic and experience of diagnosis and therapy of steering wheel injury in abdomen. Methods The clinical data of 56 patients with steering wheel injury in abdomen were reviewed retrospectively. Results There were 52 cases of multiple organ damage. These organs were vulnerable to injury,18 cases of duodenum, 16 cases of stomach, jejunum, ileum and colon, 11 cases of liver and pancreas respectively, 8 cases the spleen, 11 cases of traumatic retroperitoneal hem. Thirty -six cases were confirmed preoperative, 16 cases were diagnosed in operation and 4 cases were missed. The time of injury to operation was from 2 to 78 hours, an average of 4 hours.Thirty- six cases were cured, 12 cases were automatically discharged or transferred from hospital, 8 cases were death. Seventeen cases had serious postoperative complications. Conclusions Most steering wheel injures in abdomen were multiple injuries. Duodenum and pancreas were vulnerable to injury. Early diagnosis, the treatment of damage control surgery, abdominal drainage and effective nutritional support were the key to improve the treatment effect.

关 键 词：腹部方向盘伤 损伤控制性外科处理 腹腔引流 营养支持 

分 类 号：R656[医药卫生—外科学]