腹部创伤258例临床探讨  

Clinical study of 258 cases of abdominal trauma

作　　者：仲崇威[1] 王仕明[1] 韦菊林[1] 

机构地区：[1]新疆生产建设兵团农四师医院,伊宁835000

出　　处：《中国实用医刊》2012年第18期39-41,共3页Chinese Journal of Practical Medicine

摘　　要：目的提高对腹部创伤的早期诊断能力及手术治疗水平。方法回顾性分析近年来新疆生产建设兵团农四师医院收治的258例腹部外伤患者的临床资料，对其临床诊疗过程进行分析和总结。结果本组258例患者中保守治疗65例，手术治疗193例；痊愈255例，死亡3例，治愈率为98．9％。死亡3例中1例死于严重的颅脑外伤，1例死于失血性休克，1例死于多器官功能衰竭。术后并发症：切口感染8例，尿路感染2例，肺部感染6例，肠漏1例，腹腔积液10例，胰瘘1例，均采取相应的治疗措施或行2次手术，治愈出院。结论诊治腹部创伤伤时，需要早期及时正确判断，避免遗漏多脏器伤，可提高诊治水平。Objective To improve the ability of early diagnosis and surgical treatment of severe abdominal trauma. Methods The clinical data of 258 cases of abdominal trauma were retrospectively analyzed, and the clinical diagnosis and treatment process were analyzed and summarized. Results Six- ty-five cases received conservative treatment in 258 cases, 193 cases received surgical treatment. Two hundred and fifty-five cases recovered, 3 cases died, and the cure rate was 98.9%. One case died of se- vere traumatic brain injury, 1 case died of hemorrhagic shock, 1 case died of multiple organ failure. Postoperative complications including 8 cases of incisional infection, 2 cases of urinary tract infection, 6 cases of pulmonary infection, 1 case of intestinal leakage, 10 cases of ascites, 1 case pancreatic fistula, appropriate treatment measures or line operations were given, and all were recovered. Conclusions Di- agnosis and treatment of abdominal trauma injuries need early and timely and correct judgment, and avoid missing multiple organ injury, and can improve the diagnosis and treatment levels.

关 键 词：腹部创伤 手术 治疗 

分 类 号：R656[医药卫生—外科学]