腹部闭合性损伤合并颅脑伤诊断与处理(附126例报告)  

The diagnosis and treatment of abdominal closed injury combined with head injury

作　　者：曹战宇[1] 李海龙[1] 范东坡[1] 程石[1] 

机构地区：[1]首都医科大学附属北京天坛医院普通外科

出　　处：《北京医学》1997年第5期269-271,共3页Beijing Medical Journal

摘　　要：对本院１９８８年～１９９４年腹部闭合性损伤合并颅脑伤１２６例进行回顾性分析。致伤原因：交通事故８７例，高处坠落２０例，其它原因１９例。本组昏迷病人达４１．３％。认为注意了解病史及仔细的体检，及时腹穿均有助于腹部闭合性损伤的诊断。治疗上首先要与诊断同时进行，特别是危重病人要先治疗后诊断，并要处理好休克与颅内高压的治疗矛盾。普外与神外共同确立治疗方案，协力抢救是提高腹部闭合性损伤合并颅脑伤救治率的关键。A retrospective study for abdominal closed injury combined with head injury from 1988 to 1994 in this hospital was made. The reasons of injury were traffic accident(87 cases), falling from higher place(20 cases) and others(18 cases). The coma patients were accounted for 41.6%. We suggest that it is helpful to the diagnosis of abdominal closed injury by careful inquiry of history, physical examination and abdominal puncture. The treatment should be performed with diagnosis at the same time. The dangerous and serious patients should be taken the priority of the treatment. It should be carefully dealed for the paradorical management between shock and intracranial hypertension. It can improve the successful rate of abdominal closed injury combined with head injury that both the general surgeon and neurosurgeon decided the progrom of treatment together and rescued the patients the same time.

关 键 词：腹部损伤 闭合性损伤 颅脑损伤 诊断 治疗 

分 类 号：R656[医药卫生—外科学] R651.15[医药卫生—临床医学]