闭合性腹部损伤246例临床分析

目的 探讨如何提高闭合性腹部损伤的早期确诊率和救治成功率。方法 总结分析246例闭合性腹部损伤的诊断与救治经验。结果 5年共救治闭合性腹部损伤246例,其中剖腹探查221例、保守治疗25例。治愈235例(95.53%)、死亡11例(4.47%)。结论 全面查体和迅速确诊是救治成功的关键,早期抗休克和及时手术治疗是非常重要的,剖腹探查的原则和顺序应得到严格遵循。

Closed abdominal injuries:clinical analysis of 246 cases

Objective To explore the approaches for early diagnosis and effective management of closed abdominal injures. Methods The experience in diagnosis and management of 246 cases of closed abdominal injuries was analyzed. Results Of the 246 patients treated in the past 5 years, 221 underwent exploratory laparotomy and 25 received conservative treatment. Altogether 235 patients (95.53%) were cured and 11 died (4.47%). Conclusion Systemic physical examination and early diagnoseis are crucial for successful management of closed abdominal injuries. Surgeons should be aware of the importance of early-stage anti-shock treatment and timely surgical management, and the indications and procedures for exploratory, laparotomy should be strictly followed.