严重腹部闭合性损伤的诊断与治疗

目的　总结各类腹部闭合性损伤的诊断要点与治疗原则。方法　本组 5 6例均行剖腹探查 ,按不同疾病实施相关手术治疗。其中 ,胃破裂缝合 32例 ;脾切除 15例 ;部份肝叶切除 4例 ;肾切除 15例 ;结肠修补加腹腔清洗 6例 ;胰腺部份切除 2例。结果　全部病例均治愈。结论　当前各种诊断手段完善 ,只要诊断及时 ,采用相应治疗 ,对于腹部闭合性损伤均可顺利治愈

Diagnosis and Treatment of Severe Closed Abdominal Injury

Objective To discuss the key points of diagnosis and treatment principle of varied closed abdominal injury. Methods 56 cases of closed abdominal injury were underwent explorative celiotomy and relative operations were performed. Among them, there were 32 cases stomach rupture, 15 cases splenectomy, 4 cases partial hepatectomy, 15 cases nephrectomy, 6 cases of colon sutrue and cavity irrigation and 2 cases partial pancreatectomy. Results All cases were healed. Conclusion The closed abdominal injury could be treated according to early diagnosis and proper treatment with varied detective methods.