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自发性腹腔出血的诊治体会 被引量:8

Experience in diagnosis and treatment of abdominal apoplexy
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摘要 目的探讨自发性腹腔出血的病因、诊断和治疗方法。方法回顾性研究25例自发性腹腔出血患者的病因、诊断、治疗方法及疗效。结果25例均行手术治疗,出血部位缝扎11例,出血脏器部分或全部切除5例,单纯腹腔冲洗置放引流9例。2例因术后并发症死亡,余痊愈出院。结论自发性腹腔出血病因尚不清楚,临床少见,诊断困难,早期手术可提高治愈率。 Objective To investigate the etiopathogenisis, diagnosis and treatment of abdominal apoplexy. Methods There were 25 cases of abdominal apoplexy whose clinical data were analyzed retrospectively. Results Eleven patients were managed by surgical operation,suture and ligation of hemorrhage area,5 by total or partial hemorrhagic organ resection, and 9 by drainage and irrigation of peritoneal cavity. Two patients died of postoperative complications, and the rest were cured. Conclusion Abdominal apoplexy is a seldom and serious disease of emergency abdominal surgery and much difficult in diagnosis, early surgery can improve the curative rate.
作者 杨振华 陈萃
出处 《临床外科杂志》 2008年第7期465-466,共2页 Journal of Clinical Surgery
关键词 自发性腹腔出血 腹腔穿刺 abdominal apoplexy abdominal puncture
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