513例腹部开放性刀刺伤治疗的回顾性分析  

Retrospective Analysis on Treatment of Open Abdominal Stab Wound in 513 Cases

作　　者：李琳业[1] 任海林[1] 

机构地区：[1]青海大学附属医院急救中心,西宁810001

出　　处：《医学综述》2012年第2期317-318,共2页Medical Recapitulate

摘　　要：目的探讨腹部开放性刀刺伤治疗方法的选择。方法回顾性分析513例腹部开放性刀刺伤患者的临床资料,按治疗方式分为保守治疗组(主要给予对症支持治疗)97例、剖腹探查组313例、阴性探查组103例(探查后无明显阳性),比较分析三组患者的临床资料。结果阴性探查占探查病例的24.8%。保守治疗病例中,2例转剖腹探查,占保守病例2.1%,余均治愈出院。腹部开放性刀刺伤以小肠损伤最常见,占总病例27.3%,其次为胃损伤占14.2%。结论腹部开放性刀刺伤病例可结合患者生命体征、腹部体征、腹腔穿刺以及影像学检查结果综合分析,在严密的监测下进行保守治疗,但必须严格掌握适应证。Objective To explore treatment options of open abdominal stab wound.Methods 513 cases of open abdominal stab wound were retrospectively reviewed,divided into the expectant treatment group 97 cases（mainly given symptomatic and supportive treatment）,laparotomy group 313 cases,negative exploration group 103 cases（after the probe found no significant positive）,and clinical data of 3 groups were comparative analyzed.Results Negative exploration exploration accounted for 24.8% of cases,2 cases of expectant treatment were finaly laparotomy,accounted for 2.1% of cases expectant treatment.The most common wound in open abdominal stab was small intestine 27.3% of total cases,the next was stomach 14.2% of total cases.Conclusion The treatment options of open abdominal stab could be selected taking patient＇s vital signs,abdominal symptoms,abdominal paracentesis,and imaging findings into comprehensive consideration.The open abdominal stab could be expectant treatment in some cases with strict indications,under close monitoring.

关 键 词：腹部刀刺伤 剖腹探查术 阴性探查 保守治疗 

分 类 号：R649.9[医药卫生—外科学]