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钝性伤致胃肠道穿孔和缺血性改变
引用本文:蔺锡侯. 钝性伤致胃肠道穿孔和缺血性改变[J]. 中华创伤杂志, 1995, 11(2): 99-100
作者姓名:蔺锡侯
摘    要:
钝性闭合性腹部损伤所致胃肠道穿孔(破裂)及因系膜血管损伤所致缺血性改变的诊治尚存在一些问题。笔者收集连续收治的88例上述病变进行临床分析,提出详尽的体检结合诊断性腹腔灌洗(穿刺)是诊断此类病变的较可靠方法,肠道缺血性改变应积极手术处理,小肠应行切除吻合术,结肠应附加近端造口术。本组死亡7例,余均治愈。

关 键 词:创伤 钝性伤 胃肠道穿孔 缺血

Ischemic Changes and Perforation of Gastro Intestinal Tract Following Blunt Trauma
LIN Xi hou Beijing Institute of Traumatology and Orthopedics.Dept of Surgery of Jishuitan Hospital Beijing. Ischemic Changes and Perforation of Gastro Intestinal Tract Following Blunt Trauma[J]. Chinese Journal of Traumatology, 1995, 11(2): 99-100
Authors:LIN Xi hou Beijing Institute of Traumatology and Orthopedics.Dept of Surgery of Jishuitan Hospital Beijing
Affiliation:LIN Xi hou Beijing Institute of Traumatology and Orthopedics.Dept of Surgery of Jishuitan Hospital Beijing 100035
Abstract:
Eighty eight cases with perforations and ischemic changes of the gastro intestinal tract following blunt closed abdominal trauma were analysed.It is considered that detailed check up with DPL is a better method for diagnosis and resection and reanastomosis is preferable for ischemic changes.(Original aritcle on page 99)
Keywords:Abdominal trauma  Blunt  
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