闭合性腹部创伤并肠管损伤347例诊治分析  

Diagnosis and Treatment of Intestinal Canal Injury in 347 Patients with Closed Abdominal Trauma

作　　者：黄显凯[1] 王韬[1] 李英才[1] 张连阳[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所全军战创伤中心,创伤,烧伤与复合伤国家重点实验室,重庆400042

出　　处：《解放军医药杂志》2013年第7期10-12,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：国家科技支撑计划(2012BAI11B01);全军后勤科研计划重点项目(BWS11J038);全军十二五项目(DWS12J033)

摘　　要：目的探讨闭合性腹部创伤并肠管损伤的早期诊断及治疗方法。方法对2001年1月—2012年12月收治的闭合性腹部创伤并肠管损伤347例的临床资料进行分析。结果行肠部分切除或肠修补240例均顺利恢复。行肠外置61例中3例2周内发生肠瘘转为肠造口,其余均于术后2周内行肠外置还纳。行小肠造口46例均于术后3周内行造口还纳。345例治愈,2例因严重多发伤及脏器功能损害死亡。结论闭合性腹部创伤怀疑肠管损伤者应合理应用医技检查,动态观察病情变化,必要时实施手术或腹腔镜探查,以尽早确诊。Objective To explore early diagnosis and treatment of intestinal canal injury in patients with closed abdominal trauma.Methods Clinical data of intestinal canal injury in 347 patients with closed abdominal trauma during January 2001 and December 2012 was analyzed.Results A total of 240 patients successfully restored by intestinal partial resection or intestinal repair.External intestinal fistula occurred in 3 patients within 2 weeks after exteriorization in 61 patients treated with intestinal stoma,and the remaining patients received reduction within 2 weeks after operation.The 46 Patients with small intestine stoma received reduction within 3 weeks.A total of 345 patients were cured,and 2 patients died for severe multiple injuries and organ dysfunction.Conclusion Patients with closed abdominal injury should receive reasonable medical examinations and dynamic observation in order to confirm the suspected intestinal injury.Laparotomy or laparoscopic approach should be performed if necessary.

关 键 词：腹部损伤 胃肠道 腹腔镜检查 消化系统外科手术 

分 类 号：R641[医药卫生—外科学]