多发骨折脱位合并腹腔闭合伤漏诊的临床分析  

Misdiagnosis of multiple fracture and dislocation complicated with closed abdominal injury

作　　者：马成利[1] 甄淑平[2] 

机构地区：[1]中国人民解放军251医院关节科,河北张家口075000 [2]中国人民解放军251医院疼痛康复科,河北张家口075000

出　　处：《海南医学院学报》2011年第8期1083-1084,1087,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020110275)

摘　　要：目的:探讨多发骨折脱位合并腹腔闭合伤的漏诊原因,以减少其发生率。方法:对我院2007年1月～2009年12月收治的116例多发骨折脱位合并腹腔闭合伤患者进行回顾性分析,确定漏诊的发生率及引起漏诊的原因。结果:经手术证实多发骨折脱位合并腹腔闭合伤漏诊率为20.7%(24/116),同期单发骨折脱位合并腹腔闭合伤的漏诊率仅为7.4%(4/54)。结论:多发骨折脱位合并腹腔闭合伤容易出现漏诊。拓宽诊断视野、全面系统检查、仔细观察病情变化,大多数漏诊是可以避免的,而反复腹腔穿刺是提高腹腔脏器损伤诊断率的重要手段。Objective： To explore reasons that cause misdiagnosis of multiple fracture and dislocation complicated with closed abdominal injury in order to reduce its incidence. Methods： Data of 116 cases of multiple fracture and dislocation complicated with closed abdominal injury that admitted into our hospi- tal from January 2007 to December 2009 were retrospectively analyzed in order to calculate the incidence and find out cause of misdiagnosis. Results： Incidence of confirmed misdiagnosis of multiple fracture and dislocation complicated with closed abdominal injury was 20.7% （24/116）, while the corresponding inci-dence for simple fracture and dislocation complicated with closed abdominal injury was 7.4% （4/54 cases）. Conclusions： Multiple fracture and dislocation complicated with closed abdominal injury can be easily mis- diagnosed, but comprehensive examination, especially, peritoneo-puncture can screen out closed abdomi- nal injury effectively

关 键 词：多发骨折脱位 腹腔闭合伤 诊断 漏诊 

分 类 号：R68[医药卫生—骨科学]