腹部外伤中胃肠道裂伤286例分析  

Clinical analysis of 286 cases of abdominal trauma with gastrointestinal tract laceration

作　　者：潘春球[1] 李旭[2] 武钢[2] 周望梅[2] 韩述岭[2] 鲍光欣[2] 

机构地区：[1]南方医科大学南方医院急诊科,广东广州510515 [2]南方医科大学南方医院普外科,广东广州510515

出　　处：《南方医科大学学报》2010年第4期905-907,共3页Journal of Southern Medical University

摘　　要：目的探讨腹部外伤中胃肠道裂伤的临床特点,提高急诊救治水平。方法回顾性分析我院近6年来收治的286例腹部外伤后出现胃肠道裂伤的病例临床资料。结果自外伤至就诊时间为15min～2d,286例患者最后都经剖腹手术证实,治愈273例,好转3例,死亡10例。结论腹部外伤中胃肠道裂伤的患者,腹腔穿刺诊断、腹部立位X光片是快捷有效的诊断方法。行剖腹手术是最根本的治疗措施。Objective To improve the diagnosis and treatment of abdominal injury.Methods The clinical data of 286 patients with gastrointestinal tract laceration admitted between 2004 and 2009 to our hospital was analyzed.Results The duration after trauma was 15 min to 2 days.Of the 286 patients eventually confirmed by laparotomy,273 were cured,3 showed improvement and 10 died.Conclusion Abdominal trauma in patients with gastrointestinal tract laceration,Abdominal puncture diagnosis and orthostatic abdominal X-ray are rapid and effective diagnostic methods for gastrointestinal tract laceration in patients with abdominal trauma.Laparotomy is the primary treatment measures and should be performed as early as possible.

关 键 词：腹部外伤 消化道 剖腹术 

分 类 号：R656.6[医药卫生—外科学]