闭合性腹部损伤246例临床分析

目的 探讨如何提高闭合性腹部损伤的早期确诊率和救治成功率。方法 总结分析246例闭合性腹部损伤的诊断与救治经验。结果 5年共救治闭合性腹部损伤246例，其中剖腹探查221例、保守治疗25例。治愈235例(95．53％)、死亡11例(4．47％)。结论 全面查体和迅速确诊是救治成功的关键，早期抗休克和及时手术治疗是非常重要的．剖腹探查的原则和顺序应得到严格遵循。

Closed abdominal injuries: clinical analysis of 246 cases]

OBJECTIVE: To explore the approaches for early diagnosis and effective management of closed abdominal injures. METHODS: The experience in diagnosis and management of 246 cases of closed abdominal injuries was analyzed. RESULTS: Of the 246 patients treated in the past 5 years, 221 underwent exploratory laparotomy and 25 received conservative treatment. Altogether 235 patients (95.53%) were cured and 11 died (4.47%). CONCLUSION: Systemic physical examination and early diagnoses are crucial for successful management of closed abdominal injuries. Surgeons should be aware of the importance of early-stage anti-shock treatment and timely surgical management, and the indications and procedures for exploratory laparotomy should be strictly followed.