腹部刺伤时腹腔器官刺伤点数的临床意义  

Clinical significance of nmnber of stab wound points in abdominal stab wound

作　　者：杨维良[1] 张新晨[1] 王夫景[1] 张浩民[2] 赵志[3] 王惠良 裴建华[5] 

机构地区：[1]哈尔滨医科大学附属第二医院普通外科,150086 [2]齐齐哈尔医学院附属第二医院普通外科 [3]牡丹江医学院附属医院普通外科 [4]牡丹江市第一医院普通外科 [5]大庆油田总医院普通外科

出　　处：《中华创伤杂志》2007年第1期48-50,共3页Chinese Journal of Trauma

摘　　要：目的 探讨腹部刺伤后剖腹探查时，如何避免遗漏刺伤点病灶。方法 回顾性分析279例腹壁穿透伤，经剖腹探查分析腹腔器官刺伤点数目。结果 279例剖腹探查结果的奇数刺伤点211例，占75．6％；无刺伤48例，占17．2％；偶数刺伤点为20例，占7．2％。奇数刺伤点与无刺伤、偶数比较，差异有统计学意义（P〈0．01）。由于再次剖腹探查证实，无刺伤有13例遗漏，偶数刺伤点有11例遗漏。所以真正的奇数点为235例，发生率为84．2％。结论 腹部刺伤时腹腔器官刺伤点数多为奇数，如果剖腹探查者为偶数或为无刺伤时，应想到还有一个隐蔽的刺伤点尚未发现；此时应进一步详尽探查，以防遗漏刺伤点病灶酿成严重后果。Objective To study how to avoid missing loci of stab wound during exploration laparotomy after abdominal stab wound. Methods A retrospective analysis was done on 279 cases with abdominal wall penetrative wound, in which different numbers of stab wound point of celiac organ were found via exploration laparotomy. Results There were 211 cases （75.6 % ） with odd number of stab wound points, 20 （7.2%） with even number of stab wound points, but 48 （ 17.2% ） with no stab wound, with statistical difference （P 〈0.01 ）. Further exploration laparotomy proved that 13 stab wound points were missed in cases without stab wound and 11 in even stab wound. Real odd number of stab wound was in 235 cases, with incidence rate of 84.2%. Conclusions The number of stab wound points of celiac organ is mostly odd. If no stab wounds or even number ones are present in exploration laparotomy, a covered stab wound point should be considered. Further detailed exploration is necessary to avoid missing stab wound points.

关 键 词：腹部损伤 创伤 刺戳 刺伤点 

分 类 号：R686[医药卫生—骨科学]