腹部贯通伤94例的诊治体会  

The diagnosis and treatment of the lumbar penetrating wound.

作　　者：胡晓伟 熊明涛 

机构地区：[1]谷城县人民医院普外科,湖北谷城441700

出　　处：《中外医学研究》2010年第7期39-40,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的提高腹部贯通伤的诊断和治疗水平。方法回顾性分析1990年1月～2008年12月收治的94例腹部贯通伤患者。结果行剖腹探查手术74例，死亡1例，剖腹探查阴性3例，术后切15,感染20例，行单纯清创缝合即保守治疗20例。结论腹部贯通伤病情复杂，易漏诊、误诊，病死率高。应遵循抢救、诊断、治疗并重的原则，伤口探查、腹腔穿刺、CT检查、X线平片对诊断有重要价值。Objective To improve the level of diagnosis and treatment of the abdomen penetrating wound. Methods 94 cases which were treated from Jan 1990 to Dec 2008 were reviewed. Results Among 74 cases who underwent the exploration, 1 cases dead,3 cases negativity. Among 20 cases who underwent conservative treatment. Conclusion The condition of the abdomen penetrating wound is very complicated, it is easy to be misdiagnosed, the mortality is high. Principle should be equaled with the diagnosis and treatment. The application of wound expedition, abdominal puncture, CT examination and X - ray are valuable to the diagnosis.

关 键 词：腹部贯通伤 手术 

分 类 号：R693.5[医药卫生—泌尿科学]