| 闭合性胃损伤50例临床分析 |
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| 引用本文： | 何勇,周峻,窦科峰,李海民,陈勇,高志清. 闭合性胃损伤50例临床分析[J]. 中华全科医师杂志, 2004, 8(1): 492-494. DOI: 10.3760/cma.j.issn.1671-7368.2009.07.025 |
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| 作者姓名： | 何勇 周峻 窦科峰 李海民 陈勇 高志清 |
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| 作者单位： | 解放军第四军医大学西京医院普一科,西安,710032;第四军医大学秦都医院病理科; |
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| 摘 要： | 回顾性分析50例闭合性腹部创伤中胃损伤患者的临床资料,其中胃穿孔20例,胃撕裂伤30例,胃穿孔患者受伤时均为饱食胃状态,胃撕裂伤患者正相反;49例存在合并伤,肝胰损伤是胃撕裂伤患者的常见合并症(15/30与10/30),而脾损伤是胃穿孔患者的常见合并症(11/20).均行手术治疗,手术方式为胃修补术.治愈48例,病死2例,病死率4%.外科手术是主要治疗方式,以修补术为主,手术中应注意处理合并伤及合并症.
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| 关 键 词： | 腹部损伤 胃 |
Gastric injuries in blunt abdominal trauma |
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| He Yong,ZHOU Jun,DOU Ke-feng,LI Hai-min,CHEN Yong,GAO Zhi-qing. Gastric injuries in blunt abdominal trauma[J]. Chinese JOurnal of General Practitioners, 2004, 8(1): 492-494. DOI: 10.3760/cma.j.issn.1671-7368.2009.07.025 |
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| Authors: | He Yong ZHOU Jun DOU Ke-feng LI Hai-min CHEN Yong GAO Zhi-qing |
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| Abstract: | Clinical data of 50 patients with gastric injury after blunt abdominal trauma(gastric rupture in 20 and gastric laceration in 30)were retrospectively analyzed.All the patients with gastric rupture had a satiate stomach.which was not found in the patient with gastric laceration.Forty-nine patients experienced combinant injury.The most common combinant injury of gastric laceration was liver and pancreatic injury(15/30 and 10/30),and the most frequent combinant injury of gastric rupture was spleen injury(11/20).Forty-eight patients recovered while 2 died after the treatment with gastric prosthesis.The mortality rate was 4%.Surgical operation,or prosthesis,could be the main treahnent of choice.The management of combinant injuries and complications should be imprta. |
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| Keywords: | Abdominal injuriesStomach |
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