闭合性腹部外伤89例临床分析

目的：总结闭合性腹外伤的诊治经验，进一步提高救治水平。方法：回顾分析10余年来89倒闭合性腹部外伤患者的诊治情况。结果：行剖腹手术86例，保守治疗3例。治愈85例，死亡4例，原因为失血性休克、感染性休克、多器官功能障碍综合征及严重合并伤。结论：结合病史、体检、腹腔穿刺、B超、CT、X线检查等可提高诊断率，为腹外伤治疗提供可靠依据。手术止血是最根本的治疗措施，术中探查避免遗漏脏器损伤，正确处理合并伤是减少并发症，降低病死率的主要因素。

Closed Abdominal Injury: a Clinical Analysis of 89 Cases

Objective: AIM: To summarize the experiences of diagnosing and treating closed abdominal injury, so as to further improve the curative levels. Methods:The diagnosis and treatment of 89 patients with closed abdominal injury in our hospital in the recent 10 years were retrospectively analyzed. Results: Of the 89 patients with closed abdominal injury, 86 cases underwent laparotomy and 3 cases received conservative treatments; 85 cases were cured but 4 cases died of hemorrhagic shock, infectious shock, multiple organ dysfunction syndrome and severe associated injury. Conclusion: The combination of disease history, physical examination, abdominal paracentesis, B-mode ultrasound, CT, X-ray examination, etc. can improve the diagnostic rate and provide reliable evidence for the treatment of abdominal injury. Surgical hemostasis is the most basic therapeutic measure, and perioperative probing can avoid the omission of organ injury. The correct treatment of associated injury is a major factor for reducing complications and decreasing fatality rate.