下胸部刀伤致腹腔脏器损伤23例临床分析  

作　　者：张刚[1] 王道明[1] 

机构地区：[1]成都核工业四一六医院普外科,四川成都610017

出　　处：《医学美学美容（中旬刊）》2013年第3期53-53,55,共2页

摘　　要：目的总结下胸部刀伤伴腹腔脏器损伤的诊断与手术治疗经验。方法回顾性调查分析2005年1月～2012年6月我院手术治疗25例因下胸部刀伤而致腹腔脏器损伤患者资料，并就患者胸部或腹部损伤情况予以切肺、肺修补、切肝、肝修补、切脾、胃肠修补、吻合等相应治疗进行总结。结果21例患者救治成功，2例因失血性休克、多器官功能衷竭等原因死亡。手术时间平均4．2h，输血量平均1850ml，术后住院时间平均15．4d。结论下胸部刀伤致腹腔脏器损伤病情紧急、危重、且较隐匿，容易发生失血性休克而致死亡，应早期明确诊断，迅速有效纠正休克，尽快手术，并根据具体伤情选择手术方案。Objective To summarize the lower chest stab wounds associated with the diagnosis and surgical treatment of abdominal organ injury experience. Methods A retrospective survey analysis in our hospital from January 2005 to June 2012, 23 cases of surgical treatment due to the lower chest stab wounds cause abdominal organ injury patient data, and be cut lung damage on the patient＇s chest or abdomen, lung repair, cut treatment of fiver, liver repair, splenectomy, gastrointestinal repair, consistent with the corresponding summary. The results of the successful treatment of 21 patients, two cases of death due to hemorrhagic shock, multiple organ failure and other reasons. The mean operative time 4.2h, the average amount of blood transfusion 1850ml, mean postoperative hospital stay 15.4d. Conclusion lower chest stab wounds caused by abdominal organ injuries urgent medical conditions, critical, and more occult, prone to hemorrhagic shock caused death, should early diagnosis, rapid and effective correction of shock, surgery as soon as possible, and to choose surgery program and in accordance with the specific injury.

关 键 词：胸部损伤 腹部损伤 刀刺伤 休克 

分 类 号：R683[医药卫生—骨科学]