摘要
目的探讨腹部外伤再手术的原因及其预防措施。方法对我科1992年1月-2004年8月收治的20例腹部外伤早期再手术病人的临床资料进行回顾性分析。结果本组20例共行再手术23次,其中,有3例行再手术2次。经再手术后治愈18例,死亡2例。结论行剖腹术时坚持全面探查、正确掌握手术操作技术、重视腹部创伤的充分引流是减少腹部外伤再手术的关键。
Objective To investigate the causes and preventive methods of reoperation for abdominal injuries. Methods The data of 20 patients undergoing relaparotomy for abdominal injuries during the last 12 years were analyzed retrospectively. Results In these 20 patients, 23 reoperations were performed,and among them 3 patients sustained 2 times of laparotomy respectively. Two cases died,and the mortality rate was 10%. Conclusion It is the key point to carry out a complete surgical exploration,have a profound grasp of the skill for a surgeon to deal with abdominal injuries and pay an attention to sufficient drainage of severe abdominal trauma in initial laparotomy in order to decrease the incidence of reoperation.
出处
《腹部外科》
2006年第4期222-223,共2页
Journal of Abdominal Surgery
关键词
腹部损伤
再手术
综合分析
Abdominal injuries
Reoperation, Meta-analysis