损伤性小肠破裂51例诊治分析

目的探讨损伤性小肠破裂的诊断及治疗方法。方法分析51例小肠破裂的临床症状、体征、影像学检查及实验室检查,确定诊断依据。51例中单纯修补41例,经部分肠切除肠吻合10例,同时处理并发伤,术后常规抗感染等辅助治疗措施。结果 51例均治愈,治愈率为100%。结论综合分析临床症状和必要辅助检查,是诊断损伤性小肠破裂的主要依据,应按伤情决定采用单纯修补或肠吻合术。

Analysis on diagnosis and treatment of 51 patients with traumatic rupture of small intestine

Objective To explore the diagnosis and treatment of traumatic rupture of small intestine(TRSI). Methods The data of clinical symptom,signs,image and laboratory detection of 51 patients with TRSI were analyzed and the diagnosis had be obtained.The simple repair were performed in 41 patients and partial interstinal resection and anastomosis in 10 patients.The control of complication and routine antibiotics were taken after operation.Results All patients were cured with 100%of curative rate.Conclusion The diagnosis of TRSI should be based priniarily on clinical symptom and signs of patients as well as the auxiliary examination.The simple repair or partial resection should be performed according to the situation of patients.