闭合性小肠破裂47例诊治体会  

Diagnosis and treatment of 47 cases with closed rupture of small intestine

作　　者：刘凯 熊云川 

机构地区：[1]重庆市第六人民医院外一科,重庆400060

出　　处：《现代医药卫生》2010年第6期837-838,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨闭合性小肠破裂的诊断方法与手术治疗原则。方法:对我院收治的闭合性小肠破裂47例临床资料进行回顾性分析。结果:腹腔穿刺阳性率76.6%,X线检查发现膈下游离气体阳性率23.8%。全组病例治愈,6例发生并发症。结论:结合病史、临床表现、腹腔穿刺及腹部X线片有助于闭合性小肠破裂的早期诊断,腹腔穿刺是诊断小肠破裂的重要方法;早期手术治疗是提高小肠破裂治愈率的关键。Objective ：To explore the method of diagnosis and surgical principle for the closed rupture of small intestine.Methods： The clinical data of 47 cases with closed rupture of small intestine from 1999 to 2008 in our hospital were analyzed retrospectively.Resuits：The positive rate of peritoneocentesis ,and subdiaphragmatic free air in abdominal plain film examination was76.6% ,23.8% respectively.All cases were cured completely, and 6 cases suffered from various complications.Conclusion ：The medical history, clinical manifestation, peritoneocentesis and abdominal plain film examination are helpful for early diagnosis of closed rupture of small intestine,and peritoneocentesis in particular could be considered as the major method of diagnosis.Early surgical treatment is the key to improve the cure rate of traumatic intestinal rupture.

关 键 词：小肠破裂 诊断 治疗 

分 类 号：R5[医药卫生—内科学]