腹腔脏器损伤210例诊治分析

目的:探讨腹腔脏器损伤的诊治方法。方法：回顾性分析15年间收治的210例腹腔脏器损伤的临床资料。结果：腹腔穿刺阳性率（88.6%）。术前诊断基本准确125例（59.5%）。210例均行手术治疗，治愈190例（90.5%），死亡20例（9.5%）。结论：腹腔多脏器损伤较为常见。腹腔穿刺是可靠的诊断手段，对有剖腹探查指征的病例应积极手术，探查时既要系统全面，防止遗漏，又要避免重复多余的探查。

Diagnosis and treatment of abdominal visceral injury:a report of 210 cases

Objective To discuss methods of diagnosis and treatment of abdominal visceral injury.Methods The clinical data of 210 patients with abdominal visceral injury admitted to our hospital during recent 15 years were analyzed retrospectively.Results The positive rate of abdominal paracentesis was 88.6%.Preoperative correct diagnosis was in 125 cases(59.5%).All of the 210 cases received operative treatment,of which,190 cases(90.5%) were cured and 20 cases died(9.5%).Conclusions Abdominal visceral injury is common.Abdominal paracentesis is a reliable diagnostic tool.In patients with indications for exploratory laparotomy,aggressive operation should be performed.The abdominal exploration must be systematic to avoid overlooking an injury,but,at the same time,unnecessary exploration must be avoided.