腹部多发伤早期诊断与手术治疗(附220例临床报告)  

The Early Diagnosis and Operative Treatment of Abdominal Multiple Injuries( Attach Clinical Report of 220 Cases)

作　　者：侯远发 莫必华 郑高平 唐玉玲 

机构地区：[1]广东省云浮市人民医院外科,广东云浮527300

出　　处：《海南医学》2005年第11期23-24,共2页Hainan Medical Journal

摘　　要：目的探讨基层医院对腹部多发伤的早期诊断与治疗方法。方法整理我院十年来220例腹部多发伤的诊疗资料。结果两处脏器外伤108例,三处脏器外伤86例,四处或四处以上脏器外伤32例。术前均作腹腔穿刺,阳性率92%。发生休克88例,占40%,治愈214例,死亡6例,占2.78%。术后发生各种并发症28例,占13.7%。结论腹部多发伤诊断依靠详细的病史询问、体检、腹腔穿刺、B超、CT检查。我们主张,及时的手术探查是明确诊断与治疗的最有效办法,视病情选择术式。Objective To discuss the early diagnosis and the methods of treatment of abdominal multiple injuries on basic hospital. Methods To clear up abdominal multiple injuries information of 220 cases of our hospital in ten years. Results 108 cases had two Viscera injuries, 86 cases had three Viscera injuries, 32 cases had four or upwards four Viscera injuries.They were all carried out abdominocentesis before operated, which masculine rate was 92%.88 cases were shocked which ocuppiod 40%.214 cases were cured and 6 cases died which death rate was 2.78%.28 cases brought all kinds of complication after opemtod which ocuppied 13.7%. Conclusions The diagnosis of abdominal multiple injuries depended on particular history of illness , physical examination, abdominocentesis, brightness mode ultrasonic and CT examination. We though it was the most effective ways that surgical exploration in time to define diagnosis and treatment, and its surgical procedure depended on the state of an illness.

关 键 词：腹部多发伤 诊断 治疗 

分 类 号：R656[医药卫生—外科学]