腹部战创伤后非治疗性剖腹探查术的危害及规避对策  

Harm and prophylactic strategies of non-therapeutic laparotomy for civilian and war abdomi-nal traumas

作　　者：刘珺 王春媚[1] 刘庭玮 柴璐 祁兴顺 Liu Jun;Wang Chunmei;Liu Tingwei;Chai Lu;Qi Xingshun(Military Medical Research Group,Department of Gastroenterology,General Hospital of Northern Theater Command,Shenyang110840,China;Military Joint Teaching and Research Office,the 32684 Troop of Chinese PLA,Shenyang110000,China)

机构地区：[1]中国人民解放军北部战区总医院消化内科,军事医学研究组,沈阳110840 [2]中国人民解放军32684部队,军事共同教研室,沈阳110000

出　　处：《创伤外科杂志》2024年第2期91-95,共5页Journal of Traumatic Surgery

基　　金：联勤保障部队自主科研项目。

摘　　要：并非所有腹部战创伤患者需要行紧急手术。主要因为一些外科手术并不能起到治疗作用,即非治疗性或阴性探查。另外,这些非治疗性或阴性探查会增加潜在的并发症风险并延长住院时间。本文旨在总结有关战创伤后非治疗性剖腹探查术的普遍性及其并发症,并讨论规避非治疗性剖腹探查术的对策。Nowadays,it has been increasingly recognized that not all patients with civilian or war abdominal traumas need urgent surgery.Indeed,surgery is non-therapeutic or negative in some trauma patients,which will increase the risk of complications and prolong the duration of hospitalization.This paper aims to summarize evidence regarding the prevalence and complications of non-therapeutic laparotomy in patients with civilian or war abdominal traumas and to discuss strategies regarding how to prevent non-therapeutic laparotomies.

关 键 词：战伤 创伤 剖腹探查 手术 并发症 

分 类 号：R826.65[医药卫生—临床医学]