外伤性腹内空腔脏器穿孔108例分析  

Traumatic Perforation of Abdominal Hollow Organs (Reported of 108 Cases)

作　　者：梅京松[1] 何德林[1] 龚治林[1] 

机构地区：[1]荆州市中心医院急诊外科,荆州434100

出　　处：《临床急诊杂志》2002年第3期107-108,共2页Journal of Clinical Emergency

摘　　要：目的:提高对腹内空腔脏器穿孔的诊治水平。方法:总结1994～2000年诊治的外伤性腹内空腔脏器穿孔108例,并进行回顾性分析。结果;治愈104例(96.3%),死亡4例(3.7%)。死亡原因为合并腹主动脉损伤出血和继发多器官功能衰竭综合征(MODS)。结论:腹内空腔脏器穿孔一经确诊,应立即行手术治疗。早期明确诊断是降低死亡率的关键。腹腔镜不仅可以探查明确诊断,而且有相当部分的病例可在腹腔镜下完成或在腹腔镜辅助下完成治疗。Purpose;To improve the level of diagnosis and treatment of the abdominal traumatic rup-ture of hollow organs. Methods; To refropectively sum up 108 cases with abdominal traumatic rupture (per-foration) of hollow organs from 1994 to 2000. Results; Cure 104 cases (96.3%). Death; 4 cases (3. 7%). The causes of death were all due to combine rupture of abdominal aorta or infection shock which resulted in MODS. Conclusion; Operation performed early as possible if the abdominal fraumatic perforation of hollow organs was proved or explicitly diagnosed. . The early explicit diagnosis is the key to reduce the death rate. To diagnosis explicitly by laparoscopy and to treat by laparoscopy may be performed for some cases.

关 键 词：腹外伤 空腔脏器穿孔 腹腔镜 手术治疗 剖腹探查术 

分 类 号：R656[医药卫生—外科学]