开放性腹部损伤的诊治分析(附110例)

目的探讨急诊处理开放性腹部损伤的原则与救治生存率、并发症发生率的关系。方法110例开放性腹部损伤病人的临床资料分析。结果急诊时，采用腹壁伤道探查、诊断性腹腔穿刺、腹部X光透视及术中运用“系统、完整、仔细、勿躁、忌快”的剖腹探查原则，可减少多脏器损伤的漏诊及并发症。本组治愈率95％，并发症4．6％。结论通过上述措施，可提高开放性腹部损伤的救治生存率和减少并发症。

Diagnosis and Treatment of Penetrating Abdominal Injury:An Analysis of 110 Cases

objective: TO explore the strategy of emergent treatment in pellerating abeominal injury with the relationship of survival rate and complication. Methods The conditions and therapeutic results of 110 patients with penetrating abeaminal trauma were analyzed. Results TO adopt lhe exploratiop of wound canal in abeominal wall, diagnostic abdominal puncture, and aedaminal fluoroscopy,and to employ the policy of "systematical, complete, careful, no rash, and avoided quickness" exploratory laparetomy could decrease the missing diagnosis and complications of multiple organ injuries. The cure rate and the complication rate were 95% and 4. 6% in this group, respectively. Conclusion The survival rate of penetrating abdominal trauma can be raised and the complication rate can be decreased by using the abeve-mentioned mouures.