| 外伤性小肠破裂的诊治 |
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| 引用本文： | 郑海,陈明,陈庆永,方开锋,张进祥,彭万勇,蒋春舫.外伤性小肠破裂的诊治[J].腹部外科,2009,22(1):20-22. |
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| 作者姓名： | 郑海 陈明 陈庆永 方开锋 张进祥 彭万勇 蒋春舫 |
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| 作者单位： | 华中科技大学同济医学院附属协和医院普外科,武汉,430022 |
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| 摘 要： | 目的探讨外伤性小肠破裂的早期诊断及治疗方法。方法对288例外伤性小肠破裂病人的临床资料进行回顾性分析。结果典型腹膜炎表现者209例（72．6％）；腹腔穿刺198例，阳性175例（88．4％）；腹腔灌洗28例，阳性22例（78．6％）；B型超声检查214例，阳性177例（82．7％）；288例KUB平片，发现膈下游离气体143例（49．7％）；CT检查65例，阳性43例（66．2％）。治愈280例（97．2％），死亡8例。结论重视外伤性小肠破裂常见症状和体征，积极应用各种腹腔穿刺技术，并结合血常规、X线、B型超声、CT等辅助检查，早期诊断，避免漏诊误诊，尽早手术探查，选择合理术式可明显提高治愈率及病人生活质量。
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| 关 键 词： | 腹部损伤 小肠 剖腹术 诊断 |
Diagnosis and treatment of traumatic rupture of small intestine |
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| ZHENG Hai,CHEN Ming,CHEN Qing-yong et al.Diagnosis and treatment of traumatic rupture of small intestine[J].Journal of Abdominal Surgery,2009,22(1):20-22. |
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| Authors: | ZHENG Hai CHEN Ming CHEN Qing-yong |
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| Institution: | ZHENG Hai,CHEN Ming,CHEN Qing-yong et al.Department of General Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science , Technology,Wuhan 430022,China |
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| Abstract: | Objective To explore the early diagnosis and treatment of traumatic rupture of small intestine.Methods The clinical data of 288 cases of traumatic rupture of small intestine were analyzed retrospectively.Results There were 209 cases presenting typical symptoms and signs of peritonitis(72.6 %).There were 175 positive cases among 198 cases undergoing diagnostic abdominal puncture,accounting for 88.4 %.There were 22 positive cases among 28 cases undergoing peritoneal lavage,accounting for 78.6 %.There were 177... |
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| Keywords: | Abdominal injuries Intestine small Laparotomy Diagnosis |
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