闭合性腹部损伤延迟诊断6例分析  

Delay in diagnosis of blunt abdominal injury:a report of 6 cases

作　　者：韩旭[1] 李树峰[2] 徐峰[2] 田毅波[2] 

机构地区：[1]山西医科大学第一临床医学院外科,太原030001 [2]山西医科大学附属晋煤集团总医院普外科

出　　处：《山西医科大学学报》2012年第7期534-536,共3页Journal of Shanxi Medical University

摘　　要：目的探讨闭合性腹部损伤延迟诊断的原因。方法回顾性分析晋城煤业集团总医院2008-01～2011-12年期间收治的6例闭合性腹部损伤延迟诊断的临床资料。结果 6例均为多脏器损伤,且均经手术确诊,胃肠等空腔脏器损伤4例次,肝脾等实质脏器损伤4例次,治愈5例,死亡1例。结论重视外伤后症状和体征的动态观察,充分掌握腹腔穿刺的诊断方法,选择合理的辅助检查方法,努力提高早期诊断率。Objective To explore the causes of the delayed diagnosis in blunt abdominal injury.Methods From 2008 to 2011,clinical data of 6 cases of delay in diagnosing blunt abdominal injury were retrospectively reviewed.Results All 6 cases were of the multi-organ damage,and diagnosed by surgery.There were 4 cases of intestinal rupture and 4 of hepatic or spleen rupture.Eventually,five cases were cured and one died.Conclusion More attention on dynamic observation of symptoms and signs after trauma,the good technique for paracentesis and the appropriate diagnostic examination should improve the early diagnosis.

关 键 词：闭合性腹部损伤 延迟诊断 回顾性分析 

分 类 号：R656[医药卫生—外科学]