小儿腹部闭合性损伤早期诊断方法的选择和应用  

The earlier appropriate diagnostic modalities of abdominal blunt trauma in children

作　　者：刘加胜 刘晓林 冯勇军 

机构地区：[1]重庆市医药卫生学校附属医院外科,408100 [2]重庆市涪陵区人民医院外科,408000

出　　处：《重庆医学》2012年第2期148-149,152,共3页Chongqing medicine

摘　　要：目的探讨小儿腹部闭合性损伤早期诊断方法的选择和应用。方法收集2001年1月至2010年12月收治的116例小儿腹部闭合性损伤患者的临床资料,对早期诊断方法的选择和应用进行比较分析。结果 116例中治愈112例,其中早期诊断(12h内)108例,治愈率为96.6%,其余4例死于延迟诊断所致休克、多器官功能衰竭和其他并发症,病死率为3.4%。结论小儿腹部闭合性损伤病情凶险,伤情复杂,正确、合理选用相应的诊断方法是早期确诊的关键,有利于提高治愈率,降低病死率和并发症发生率。Objective To explore the earlier appropriate diagnostic modalities of abdominal blunt trauma in children.Methods The clinical features of 116 cases of children with abdominal blunt trauma were studied and all the diagnostic modalities were analyzed retrospectively.Results All 108 cases which been diagnosed within 12 hours and other 4 cases diagnosed delayed were treated successfully,other 4 cases which diagnosed delayed were died of shock,multiorgan failure and other complications.Conclusion Abdominal blunt trauma in children is always life-threatened and complicated.Appropriate diagnostic modalities are critical to make up an earlier diagnosis and useful to successful treatment,decreasing of mortality and complications.

关 键 词：诊断小儿 腹部闭合性损伤 

分 类 号：R726.5[医药卫生—儿科]