闭合性腹部损伤49例的早期诊治体会  

A retrospective study on early diagnosis of closed abdominal injury:49 cases reported

作　　者：张杰[1] 郭书若[1] 褚亮[1] 

机构地区：[1]蚌埠医学院第二附属医院普外科,安徽蚌埠233000

出　　处：《淮海医药》2006年第5期375-376,共2页Journal of Huaihai Medicine

摘　　要：目的探讨闭合性腹部损伤的早期诊断方法,提高诊断水平。方法对49例闭合性腹部损伤的临床资料进行回顾性分析。结果腹腔穿刺是确诊的主要检查手段,部分患者选择性地做了腹部B超和CT检查,2项诊断检查的阳性率均在90%以上,X线可与B超结合使用以提高阳性率。结论闭合性腹部损伤早期在全面细致的体格检查后,针对病史选择性进行一些必要的辅助检查,可显著提高临床确诊率。及时手术是降低死亡率的关键。Objective To explore the early diagnosis of closed abdominal injury and increase the level of diagnosis. Methods The clinical data of 49 cases with closed abdominal injury were reviewed and analyzed. Results The major diagnostic means was abdominal paracentesis. Some of the patients chose other examinations including abdominal B ultrasound and CT. All these two examinations had positive diagnosis rate over 90%. X-ray examination combined with B ultra sound can raise positive diagnosis rate. Conclusion Clinical. diagnosis rate can be improved remarkahty after early overall and attentive physical examination. Surgical operation in time is a key to the lower death rate.

关 键 词：腹部损伤 失血性休克 腹腔穿刺 早期诊断 

分 类 号：R656[医药卫生—外科学]