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腹部闭合性损伤诊治体会(附169例临床分析)

Diagnosis and Treatment Comprehend of Abdominal Closed Injury—— A Clinical Analysis of 169 Cases
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摘要 目的总结腹部闭合伤的诊治体会。方法回顾性分析我院1998—2006年收治的闭合性腹部创伤169例的临床诊治资料。结果治愈160例,死亡9例。死亡原因主要为严重的颅脑外伤,多脏器功能衰竭(MODS),失血性休克。结论腹部创伤诊断仍以腹部症状、体症为主要依据。腹腔穿刺、B超、CT检查对诊断腹部闭合伤的准确率高。而腹腔镜检查已成为腹部外科一项极有价值和前途的诊疗新技术。紧急手术是主要治疗手段,术式应简单、有效。 Objective To summarize the diagnosis and treatment comprehend of abdominal closed injuries. Methods Clinical data of 169 patients with abdominal closed injuries between 1998 and 2006 were analyzed retrospectively. Results 160 cases were cured , other 9 cases died. The cause of death was severe injury of skull and brain, MODS and hemorrhagic shock. Conclusion Diagnosis of abdominal closed injury was mainly based on clinical manifestations. But Abdominal paracentesis, B ultrasound, CT examination have hight rate exact diagnosis abdominal closed injury. But Laparoscope is an very new valuable diagnosis and treatment technique in abdominal surgery. Emergency operation was the main treatment, operation shoud simpe and effective .
作者 宋小宁
出处 《国际医药卫生导报》 2007年第10期62-63,共2页 International Medicine and Health Guidance News
关键词 腹部创伤 闭合伤 手术治疗 Abdominal trauma Closed injury Operation treat
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  • 1黎沾良 盛志勇 吴阶平 裘法祖 主编.腹部损伤[A].吴阶平,裘法祖,主编.黄家驷外科学.第6版[C].北京:人民卫生出版社,2000.948—970.

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