外伤性小肠破裂256例分析

目的 进一步提高对外伤性小肠破裂的诊治水平。方法 综合国内４家医院１９８７－１９９８年诊治的外伤性小肠破裂２５６例，并进行回顾性分析。结果 并发切口感染２０例，切口裂开３例，肠粘连８例，盆腔脓肿１例，肺部感染５例，多器官功能不全综合征９例。治愈２４７例，死亡９例。死亡原因均为合并伤伴创伤性休克或感染性休克，导致ＭＯＤＳ。

The clinical analysis of 256 cases with traumatic rupture of small intestine

Objective To improve the level of diagnosis and treatment to the traumatic rupture of small intestine.Methods To sum up the 256 cases with traumatic rupture of small intestine at 4 domestic hospitals from 1987 to 1998,and to make an analysis in retrospect. Results 20 cases of complicated cutting infection, 3 cases of cutting split, 8 casesof intestine conglutination, 5 cases of lung infection, 1 cases of pelvic abscess and 9 cases of MODS. Cure: 247 cases,Death:9 cases. The causes of death were all due to joint wound, accompanied by traumatic shock or infectious shock,which resulted in MODS. Conclusion The early diagnosis, prompt operation, suitable operation method, through abdominal washing and proper drainage, early application of antibiotic and great attention to whole treatment, etc, are allimportant factors to reduce the complication and cut down the death rate.