闭合性腹部外伤的临床诊治探析  

Analysis of clinical diagnosis and treatment of closed abdominal trauma

作　　者：李海章[1] 陆艺[1] 

机构地区：[1]上海交大医学院附属苏州九龙医院,上海215123

出　　处：《临床医药文献电子杂志》2014年第12期1284-1285,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨闭合性腹部外伤患者的诊治方法。方法选取我院于2011年7月~2013年6月收治的闭合性腹部外伤患者40例,回顾患者的病例及治疗方案,并对临床结果进行观察分析。结果 40例患者中,保守治疗6例（15.0%）,手术治疗34例（85.0%）;并发症发生5例（12.5%）,分别是切口脂肪液化1例,腹腔感染1例,切口感染3例;最终治疗痊愈38例（95.0%）,死亡2例（5.0%）,其中死于急性肾衰竭1例,死于出血性休克1例。结论对于闭合性腹部外伤患者而言,根据病情的具体情况来选择治疗方案,从而提高临床治愈率。Objective To investigate the Methods of diagnosis and treatment of patients with closed abdominal trauma. Methods 40 patients with closed abdominal injury in our hospital were chosen in 2011 July to 2013 June were reviewed cases, cases and the treatment of patients, and the clinical Results were observed and analyzed. Results： of the 40 patients, 6 cases of conservative treatment （l 5%）, operation treatment of 34 cases （85%）; complications occurred in 5 patients （l 2.5%）, respectively, incision fat liquefaction in l cases, 1 cases of peritoneal infection, incision infection in 3 cases; finally cured 38 cases （95%）, 2 cases of death （5%） 1 cases of acute renal failure, died in the, 1 cases died of hemorrhagic shock. Conclusion for the patients with closed abdominal trauma, to choose the treatment scheme according to the specific situation of the disease, so as to improve the clinical cure rate.

关 键 词：闭合性 腹部外伤 手术治疗 

分 类 号：R656[医药卫生—外科学]