创伤性腹膜后血肿的诊断与治疗分析  

Analysis of Diagnosis and Treatment of Traumatic Retroperitoneal Hematoma

作　　者：王占龙[1] 

机构地区：[1]内蒙古科技大学包头医学院第一附属医院肿瘤外科,内蒙古包头014010

出　　处：《中外医疗》2016年第2期59-61,共3页China & Foreign Medical Treatment

摘　　要：目的探讨创伤性腹膜后血肿的早期诊断和有效治疗方法。方法整群选取该院2012年6月—2014年6月间收治的92例创伤性腹膜后血肿患者作为研究对象,随机分为观察组和对照组,每组46例。对照组进行常规治疗,观察组在此基础上进行对症治疗,比较两组患者的治疗效果及不良反应。结果观察组治疗总有效率为89.13%,其中1例死亡,死亡率为2.17%;对照组总有效率为71.14%,其中3例死亡,死亡率为6.52%,观察组总有效率明显高于对照组(P<0.05);观察组不良反应发生率为15.22%,对照组为19.57%,两组相较差异无统计学意义(P>0.05)。结论创伤性腹膜后血肿早期诊断主要依靠临床表现、腹穿、B超、CT、X线;对创伤性腹膜后血肿进行对症治疗效果显著,有效缓解患者临床症状,值得临床推广和应用。Objective To discuss the early diagnosis and effective treatment method of traumatic retroperitoneal hematoma.Methods 92 cases of patients with traumatic retroperitoneal hematoma treated in our hospital from June 2014 to June 2014 were selected as the research object and randomly divided into two groups with 46 cases in each, the control group were given convention treatment, the observation group were given symptomatic treatment on the basis of the observation group,the treatment effects and adverse reactions of the two groups were compared. Results The total treatment effective rate in the observation group was 89.13%, 1 case died and the death rate was 2.17%; the total treatment effective rate in the control group was 71.14%, 3 cases died and the death rate was 6.52%, the total effective rate in the observation group was obviously higher than that in the control group（P〈0.05）;the difference in the incidence of adverse reaction between the observation group and the control group was not statistically significant（15.22% vs 19.57%）（P〉0.05）. Conclusion The early diagnosis of traumatic retroperitoneal hematoma mainly relies on clinical manifestations, abdominal puncture, B ultrasound,CT and X-ray, the symptomatic treatment for traumatic retroperitoneal hematoma has an obvious treatment effect, which can effectively relive the patients＇ clinical symptoms and is worthy of promotion and application in clinic.

关 键 词：创伤性 腹膜后血肿 早期诊断 治疗效果 

分 类 号：R656.5[医药卫生—外科学]