腹部闭合性损伤的诊治体会  

Diagnosis and Treat ment Realization of Closed Abdominal Trauma

作　　者：李波 张富民 

机构地区：[1]江油市骨科医院,四川江油621715

出　　处：《中国伤残医学》2015年第3期15-17,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：总结腹部闭合性损伤的诊治经验，以提高基层医院腹部外科的诊治水平。方法：对1993年-2012年间收治的腹部闭合性损伤患者228例进行回顾性分析。结果：非手术治愈5例（3例肾脏破裂、2例脾破裂），其余223例行手术治疗。治愈212例，治愈率93％；死亡16例，死亡率7％。死亡原因多与严重多发伤、严重感染、败血症、多器官衰竭有关。结论：腹部闭合性损伤伤情复杂、病情危重，早期、准确、全面的诊断，早期抗休克和及时手术治疗，以及选择合理术式，腹腔冲冼和有效引流，以及术后完善的综合治疗等是提高治愈率、降低死亡率的关键。Objective province 621715） ：To summarize the experience of diagnosis and treatment of closed abdominal trauma , in order to improve the diagnosisand treatment of abdominal surgeries at primary hospitals .Methods：Retrospectively analyzed 228 cases of closed abdominal traumapatients from 1993 to 2012.Result： Five cases of non -surgical cure （three cases of kidney rupture, two cases of splenic rupture）,and 223 cases of surgical cure.212 cases were cured; the cure rate was 93%.16 deaths; the mortality rate was 7%.The death causeswere mostly related to severe multiple trauma , severe infections, sepsis, and multiple organ failure.Conclusion：The closed abdominaltraumatic conditions were complex and the patients ＇conditions were critical.The keys to improving the cure rate and reducing mortality in -clude the early, accurate and comprehensive diagnosis, the early anti -shock and timely surgical treatment, the right choise of surgicalprocedure,the peritoneal wash and effective drainage , and the comprehensive postoperative treatment.

关 键 词：腹部 闭合性损伤 诊断 治疗 

分 类 号：R656[医药卫生—外科学]