腹部大血管损伤24例救治分析  

TREATMENT ON 24 CASES WITH ABDOMINAL BIG BLOOD VESSEL DAMAGE

作　　者：陈旭生 莫伟锋 陈建良 牛靖志 周明德 

机构地区：[1]广东省医学院附属厚街医院外一科

出　　处：《中国煤炭工业医学杂志》2009年第4期527-528,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨提高腹部大血管损伤的救治水平的方法。方法对我院急救中心2003年7月—2007年1月救治的腹部血管损伤24例临床资料进行回顾性分析。结果20例患者痊愈出院,死亡4例,抢救成功率83.3%。结论诊断、复苏同步进行和紧急剖腹止血是抢救成功的关键;术中充分暴露术野,力争在直视下仔细缝合修复,但应避免慌乱中随意翻动脏器;手术方式则根据术中情况进行合理选择;腹中积血力争回收利用,同时注意合并症的处理及术后重要脏器功能的保护能提高抢救成功率。Objective To discuss how to enhance the treatment level of big abdominal blood vessel damage. Methods 24 cases treated in our hospital during July 2003 to January 2007 with big blood vessel damage were anaslysed. Results 20 cases were cured（83.30%） and 4 cases died. Conclusion Early diagnosis, immediate anabiosis and urgently operation to stop bleeding at the sametime of anti - shock are the successful key; exposing the surgery field of vision fully; suturing in field of vision carefully, avoiding changing the center of internal organs at flurrying;choicing the most appropriate surgery-method according to the situation in operation; reclaiming the blood in the abdominal cavities as far as possible, and paying more attention to protecting the function of important internal organs can enhance the sucess rate.

关 键 词：大血管损伤 腹部 外科手术 急救 

分 类 号：R656[医药卫生—外科学] R595.9[医药卫生—临床医学]