腹部钝性伤所致胃破裂患者的临床特征分析  

Analysis on Clinical Characteristic of Gastric Rupture from Blunt Abdominal Trauma

作　　者：韩溟[1] 黄铿[1] 崔华中[1] 

机构地区：[1]汕头大学医学院第二附属医院急诊科,广东汕头515041

出　　处：《医学临床研究》2008年第5期805-806,共2页Journal of Clinical Research

摘　　要：【目的】探讨腹部钝性伤所致胃破裂患者的临床特点,以提高临床诊断及救治水平。【方法】对497例腹部钝性伤中6例发生胃破裂患者的临床资料进行回顾性总结分析。【结果】497例腹部钝性伤中,6例发生胃破裂,胃破裂发生率为1.2%。诊断性腹穿、腹腔灌洗及X线检查术前诊断率达83.3%(5/6),本组手术治疗6例,治愈6例。【结论】早期诊断性腹穿及腹腔灌洗是诊断腹部钝性伤所致胃破裂的重要手段,及早的手术探查是治疗的关键。[Objective]To investigate the clinical characteristic of gastric rupture from blunt abdominal trauma. [Methods] The clinical data were retrospectively analyzed in 6 patients of gastric rupture from 497 patients of blunt abdominal trauma. [Results]The incidence of gastric rupture was 1.2 %. The total sensitivity of peritoneal lavage and X-ray diagnosis reached 83.3 % （5/6）. [Conclusion] Early diagnostic abdominal paracentesis and lavage may be important methods for the diagnosis of gastric rupture form blunt abdominal trauma, and early operations research should be a key to the treatment of this injury.

关 键 词：创伤 非贯通性/并发症 腹部损伤/并发症 胃破裂 

分 类 号：R826.65[医药卫生—临床医学]