摘要
目的 探讨创伤性腹膜后血肿的早期诊断及合理的治疗方法。方法 回顾性分析近 1 0年收治的创伤性腹膜后血肿 96例的临床资料。结果 82例手术治疗 ,其中 73例合并腹腔脏器损伤 ;1 4例非手术治疗。 2例合并颅脑损伤及 1例失血性休克术中死亡 ,2例术后死于多器官衰竭。结论 早期诊断主要依靠临床表现、腹穿、B超和CT。钝性伤后表现有明显失血性休克 ,证实有腹腔内脏器或血管损伤 ,以及穿透伤后所致腹膜后血肿均应及时手术 ;肾周血肿或仅为骨盆区血肿则无需立即手术。
Objective To investigate the early diagnosis and rational treatment of traumatic retroperitoneal hematoma(TRPH). Methods Retrospective analysis was done on the clinical data of 96 cases of TRPH admitted in our hospital in the past 10 years. Results Eighty two patients received operation, of whom,73 combined with other celiac organ injuries.The other 14 patients were treated by non surgery.Two patients combined brain trauma and 1 with hemorrhagic shock died during operation,and 2 died of multiorgan failure postoperatively. Conclusions Early diagonsis depends on clinical appearance, abdominocentsis, B ultrasonography and CT. Operation should be done immediately,if the patient has the following condition:(1)apparant hemorrhagic shock after blunt trauma;(2) comfirmed celiac viscera trauma or blood vessel trauma;and (3)retroperitoneal hematoma caused by penetric trauma. Kidney surrounding hematoma or hematoma in pelvis area needs no immediate operation.
出处
《中国普通外科杂志》
CAS
CSCD
2002年第12期719-721,共3页
China Journal of General Surgery
关键词
创伤性腹膜后血肿
诊断
治疗
ABDOMINAL INJURIES/compl
RETROPERITONEAL HEMATOMA/etiol
