腹部创伤的诊断与治疗  

Diagnosis and treatment of abdominal trauma

作　　者：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：《中华消化外科杂志》2014年第12期923-925,共3页Chinese Journal of Digestive Surgery

基　　金：卫生行业科研专项（201302016）;国家科技支撑计划项目（2012BAI11B01）

摘　　要：腹部创伤患者救治中如何降低漏诊率和阴性探查率仍然是临床难题.本文基于血流动力学和致伤机制提出诊断与治疗流程,进一步阐述该流程中涉及的体格检查、创伤重点超声评估（FAST）、CT检查和诊断性腹腔灌洗（DPL）等腹部创伤伤情评估技术,钝性伤和穿透伤手术指征等紧急救治策略,以及腹腔镜下和剖腹时的探查技术.Reducing the misdiagnosis rate and negative exploratory rate is still a challenge in the diagnosis and treatment process for abdominal trauma.In this article,the diagnosis and treatment are processed based on the hemodynamic and injury mechanism,and the injury evaluation techniques including physical examination,focused abdominal sonography for trauma,computed tomography,diagnostic peritoneal lavage and urgent treatment strategies for blunt trauma and penetrating trauma,as well as the exploratory techniques in the laparoscopy and laparotomy are introduced.

关 键 词：腹部创伤 诊断 治疗 

分 类 号：R656.1[医药卫生—急诊医学]