严重腹部多发伤38例临床分析

目的：通过总结严重腹部多发伤的诊治经验，以进一步提高其救治水平。方法：回顾性分析2005年1月至2007年12月收治的38例严重腹部多发伤患者的临床资料。结果：38例均采用手术治疗，术中死亡2例，术后死亡1例,原因为失血性休克和多器官功能障碍综合征。结论：结合病史、体检、腹腔穿刺、腹部彩超、CT、X线检查等可提高诊断率．为腹部外伤治疗提供可靠依据。尽早行确定性手术治疗、快速有效止血、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、降低死亡率的主要措施。

Severe Multiple Abdominal Injuries:A Clinical Analysis of 38 Cases

Objective: To summarize the experience of diagnosing and treating severe multiple abdominal injuries. Methods: The clinical data of 38 patients with severe multiple abdominal injuries were retrospectively analyzed from Jan, 2005 to Dec, 2007. Result: All of the 38 patients studied were operated but 3 cases died of hemorrhagic shock and multiple organ dysfunction syndrome. Conclusion: The combination of disease history, physical examination, abdominal paracentesis, B-mode ultrasound, CT, X-ray examination may improve the diagnostic rate and provide reliable evidence for the treatment of abdominal injury. Early decisive operation, quick and effective arrest of hemorrhage, avoidance of miss diagnosis and the correct treatment of associated is a major factor reducing complications and decreasing fatality rate.