自发出血性腹膜炎121例临床分析  

Clinical Analysis of Spontaneous Hemorrhage Peritonitis of 121 Cases

作　　者：胡国斌 

机构地区：[1]广东省深圳市观澜人民医院外科,深圳518110

出　　处：《中国医药导刊》2010年第9期1530-1531,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:为总结自发出血性腹膜炎的治疗经验。方法:收集自2001年以来收治121例病人的临床资料,从病因、诊断、治疗进行回顾性分析。结果:自发出血性腹膜炎病因以肝脾破裂、腹部卒中、出血坏死性胰腺炎及绞窄性肠梗阻为多见,辅助栓查以B超、腹平片、CT为首选,治疗以手术彻底处理出血病因为原则。结论:自发出血性腹膜炎术前误诊率较高,无论何种原因所致出血,均应及时手术探查。Objective：To summarize treatment experiences of the the spontaneous hemorrhage peritonitis（SHP）.Methods：The etiology, d iagnosis,treatment were analyzed retrospectively in 121 cases with clinical data in the past 10 years.Results：SHP was more common peritonitis of the liver and spleen rupture,abdominal vascular accident,hemorrhagic necrotic pancreatitis and strangulating intestinal obstruction.B-us investigations,abdominal plain film,CT were frequently used in supplementary examination.Thorough treatment of surgical bleeding disease because is treatment principle.Conelusion：SHP were higher misdiagnose rate in preoperative.Bleeding due to whatever reason,surgical exploration should be timely.

关 键 词：出血性腹膜炎 腹腔出血 腹部卒中 

分 类 号：R656.41[医药卫生—外科学]