摘要
本文对５１例创伤性肠破裂的临床资料进行分析。其中多脏器伤１２例（２３．５％），肠道多处伤１６例（３１．４％）。腹腔穿刺３１例次，阳性率８７．１％，腹腔镜确诊２例。我们体会腹腔穿刺仍是较敏感的方法，腹腔镜可以帮助确诊。治疗上应尽早手术，注意肠道多处伤和较隐匿损伤，彻底进行腹腔冲洗和适当引流对减少并发症有重要作用。
From 1983 to 1994, 51 patients with traumatic intestinal rupture were treated in our hospital. Among them 12 patients were multiple organ injuries, 16 patients were multiple injuries of intestine. Peritoneal punctures were performed 31 times, and the positive rate was 87.1%, The diagnosis was confirmed in 2 cases through laparoscopy.The results show that peritoneal puncture was a simple and effective method of diagnosis, although both false-positive and false-negative results do occured. Surgical intervention should be performed as soon as possible. More attentions to multiple injuries and occult injuries in intestine, thorough abdominal lavage and suitable drainage are suggested in order to reduce complications.
出处
《北京医学》
CAS
北大核心
1996年第2期75-77,共3页
Beijing Medical Journal
关键词
创伤
肠破裂
诊断
外科手术
Trauma Intestine Diagnosis Treatment
