浅谈腹部锐器伤的开腹适应证  

Brief discussion of laparotomy indications of abdomen sharp instrument injuries

作　　者：齐晖[1] 

机构地区：[1]北京石景山医院,北京100043

出　　处：《中国民康医学》2017年第13期89-90,共2页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨腹部锐器伤的开腹适应证。方法:选取18例腹部锐器伤患者的病历资料进行整理分析(包括到我院时呼吸心跳停止的2例患者)。结果:不必要开腹(Unnecessary laparotomy,UNL)6例(占37.5%),术前腹膜穿通诊断率为100%。结论:腹部锐器伤患者开腹前采用诊断性腹腔镜检查可减少UNL率。Objective： To explore laparotomy indications of abdomen sharp instrument injuries. Methods： The data of 18 patients with abdomen sharp instrument injuries were analyzed（ including 2 respiratory arrest and cardiac arrest patients when being admitted）. Results： The UNL（ unnecessary laparotomy） occurred in 6 cases（ 37.5%）,and the preoperative peritoneum penetration diagnostic rate was 100%. Conclusions： For the patients with abdomen sharp instrument injuries,the preoperative diagnostic laparoscopycan reduce UNL rate.

关 键 词：腹部锐器伤 开腹指征 

分 类 号：R656[医药卫生—外科学]