腹部闭合性损伤的诊断及非手术治疗  

Diagnosis and nonoperative treatment of closed abdominal injury

作　　者：汪建初[1] 浦涧[1] 张英[2] 韦忠恒[1] 

机构地区：[1]右江民族医学院附属医院肝胆外科,广西百色533000 [2]右江民族医学院图书馆,广西百色533000

出　　处：《创伤外科杂志》2006年第2期180-182,共3页Journal of Traumatic Surgery

摘　　要：非手术治疗(NOM)腹部闭合性损伤在现代外科中很常见且已成为标准治疗方法之一,它得益于现代影像学技术的发展、重症监护的应用及临床工作的总结。对于血流动力学稳定的病人,不论年龄大小、器官损伤的程度,通过非手术治疗一般均可获得良好的疗效;而对于血流动力学不稳定和体格检查发现有急腹症或腹膜炎的病人则应进行手术治疗。非手术治疗应该严格掌握适应证,减少不必要的剖腹手术。Nonoperative management of blunt abdominal trauma is common and probably standard practice in modern surgery. It relies on the technology of modern radiology, the development of intensive care unit, and the conclusion of our experiences. Hemodynamically stable patients with liver or splenic injury do well regardless of older age or higher severity of organ injury. Patients who are hemodynamically unstable and have physical findings of an acute abdomen or peritonitis should not be considered for nonoperative management. It is imperative that surgeons master the nonoperative management criteria of blunt abdominal injury, and reduce the unnecessary operations.

关 键 词：腹部损伤 治疗 

分 类 号：R656[医药卫生—外科学]