腹部刀刺伤158例诊治分析  

Analysis on diagnosis and treatment of 158 patients with abdominal stabbing

作　　者：李汉军[1] 田少林[1] 张翌[1] 卢绮萍[1] 

机构地区：[1]广州军区武汉总医院普通外科,武汉430070

出　　处：《腹部外科》2011年第5期284-286,共3页Journal of Abdominal Surgery

摘　　要：目的探讨腹部刀刺伤的诊断及治疗。方法回顾性分析2008年1月至2011年4月收治的158例腹部刀刺伤伤员的临床资料，对其诊断及治疗方式进行总结。结果治愈157例，死亡1例。其中，腹壁穿透伤113例，行剖腹探查术86例，行腹腔镜下探查术13例，14例小创口先行清创后保守治疗，期间出现腹膜炎表现立即中转开腹2例。结论腹部刀刺伤应迅速地做出正确诊断，剖腹探查是腹内损伤确诊和治疗的重要方法。休克、腹腔脏器或大网膜外脱、腹膜炎体征、诊断性腹腔穿刺阳性均是剖腹探查指征。术中仔细探查腹腔脏器，避免漏诊、漏治，是腹部刀刺伤的诊治关键。Objective To study the diagnosis and treatment of abdominal stabbing. Methods The clinical data of 158 cases（from Jan. 2008 to Apr. 2011） of abdominal stabbing were analyzed retrospectively and a summary to its diagnosis and treatment was made. Results 157 cases were cured, and there was one death. Of 113 cases of abdominal penetrating injuries, 86 received regular laparotomy,13 laparoseopic exploratory surgery, and 14 conservative treatment after debridement（2 cases of peritonitis were converted to laparotomy）. Conclusion Laparotomy is important for diagnosis and treatment of intra-abdominal injury. Shock, bulging of abdominal viscera or omentum, signs of peritonitis, and positive diagnostic paracentesis were indications for laparotomy. Careful exploration in abdominal surgery and avoidance of misdiagnosis and missed governance are the key to the diagnosis and treatment of abdominal stab wound.

关 键 词：腹部损伤 诊断 治疗 外科手术 

分 类 号：R656[医药卫生—外科学]