腹部闭合性损伤131例抢救体会 腹部闭合性损伤131例抢救体会  

Emergency treatment of closed abdominal injury: a report of 131 cases

作　　者：王颖勃[1] 许培钦[1] 

机构地区：[1]河南医科大学一附院外科

出　　处：《河南医科大学学报》1989年第1期56-58,共3页Journal of Henan Medical University

摘　　要：1981年1月～1987年10月我院共收治腹部闭合性损伤175例,本文就开腹手术的131例进行了分析。坠落伤和撞击伤占85.1%。多发性损伤占52.7%。入院时呈休克状态者占35.1%。本组治愈率92.4%。胰瘘等并发症占3.8%。抢救体会:①尽可能了解受伤部位,结合腹部检查及腹腔穿刺,多可确立诊断。②迅速恢复有效循环血量,阻止休克的发展。③剖腹探查指征明显者,要及时手术。④有复合伤者要尽可能取得其它各科的协作治疗。⑤手术探查要仔细,处理以简单、迅速、安全为主。From January.1981 to October 1987,175 cases of closed abdomillal injury had beentreated in our hospital,and 131 cases which had been operated on were analyzed.The injuries from falls and collision amounted to 85.1% of the total; the associatedinjuries were 52.7%; the patients who were under the condition of shock when adm-itted to our hospital accounted for 35.1%. The cure rate was 92.4%. The compli-cations, such as pancreastic fistula,reached 3.8%. It is consiered that the followingpoints should be emphasized when dealing with the emergency treatment of closed abdo-minal injuries:(i)Try to obtain information about the abdominal areas injured as soonasoossible,and for most cases,diagnosis can be established with physical examinationsand diagnostic abdominal aspirations;②Immediately restore the blood volume andprevent the development of shock;③Laparotomy must be undertaken in time, if thecases have apparent indications for exploratory;④The patients with associated injuriesshould be treated together with the other specific surgeons; ⑤Exploration shouldbe carried out systematicaly and thoroughly,and the treatments should be performedas simply,rapidly and safely as possible.

关 键 词：腹部损伤 休克 腹腔穿刺术 

分 类 号：R656[医药卫生—外科学]