腹部创伤39例临床分析

目的:探讨创伤性腹损伤的诊断与治疗。方法:对2006年10月～2009年12月收治的腹部创伤39例,采用手术治疗35例,非手术治疗4例。结果:治愈34例,治愈率为87.2%。死亡5例,1例肠破裂入院2d后中毒性休克死亡;1例肝破裂术后3h死亡;2例脾破裂合并气胸死亡;1例肾破裂者死于心力衰竭。结论:对创伤性腹部损伤的诊断要及时、明确,治疗要首选对生命威胁最大的损伤进行处理。

Clinic analysis of 39 cases with abdominal trauma

Objective：To explore the diagnosis and treatment of abdominal trauma.Methods：Employed surgery to 35 cases with abdominal trauma in 39 cases admitted from Oct 2006-Dec 2009.Results：Thirty-four cases were in cure,with cure rate as 87.2%;5 cases were dead including 1 died of toxic shock 2 days later after hospitalization,1 died of hepatorrhexis 3h after surgery,2 died of splenic rupture complicated with pneumothorax and 1 with kidney rupture died of cardiac failure.Conclusion：The diagnosis should be timely and accurate,and the most threatening injury should be treated firstly.