腹部创伤非计划性早期再手术23例临床分析  

Clinical analysis of early reoperation for 23 abdominal injury patients

作　　者：管建国 吴本传 王刚 严峻 但德武 邓中波 

机构地区：[1]安徽省第二人民医院,安徽合肥230011

出　　处：《安徽医药》2013年第10期1745-1746,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨减少腹部创伤再手术的方法。方法回顾性分析2005年4月至2013年4月我院752例腹部创伤患者中23例行非计划性再手术的原因和预后情况。分析首次手术的方法、再手术的原因及并发症。结果首次术后大出血12例(肝脏出血7例、胃出血2例、肾挫裂伤出血1例、门静脉破裂1例、膈肌裂伤1例);胃肠道穿孔3例(胃穿孔1例、十二指肠1例、空肠1例);肠梗阻7例(小肠5例、结肠2例);膈下脓肿2例。治愈21例,死亡2例。结论规范性探查和合理术式可减少腹部创伤患者非计划再手术的机率。Objective To investigate the causes and preventive methods of reoperation for abdominal injury. Methods Thirty-two cases undergoing early re-laparotomy among 752 patients＇ abdominal injury during the recent 8 years were analyzed retrospectively. The initial laparotomy manner, re-laparotomy causes and complications were analyzed. Results Twelve cases had postoperative massive hemorrhage including 7 cases of hepatorrhagia,2 cases of gastrorrhagia, 1 case of renal, portal vein and diaphragmatic rupture respectively. 3 cases had gastric-intestinal perforation ,7 cases intestinal obstruction ,2 cases subphrenie abscess. 21 cases were cured and 2 cases died. Con clusions Normative abdominal exploration and reasonable methods of operation can reduce the rate of re-laparotomy for abdominal injury efficiently.

关 键 词：腹部创伤 再手术 规范性探查 并发症 

分 类 号：R656.1[医药卫生—急诊医学]