108例外伤性小肠破裂的临床分析

目的:进一步提高对外伤性小肠破裂的治疗水平。方法:收集1995年至2004年间我市人民医院、中医院、保健院诊治的外伤性小肠破裂108例,对致伤原因、诊断、治疗方法、并发症等进行统计分析。结果:交通事故伤48例,占44.44%,坠落伤21例,占19.44%,撞击伤19例,占17.59%,踢伤9例,占8.33%,刀刺伤8例,占7.41%,其它伤3例,占2.78%。并发切口感染9例,肠粘连4例,多器官功能不全综合征(MODS)3例,切口裂开及肺部感染各2例。治愈105例,死亡3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。结论:早期诊断、及时手术,选择合适的手术方式,彻底的冲洗和合理的引流,早期应用抗生素,重视整体治疗等均为减少并发症、降低病死率的

Clinical Analysis of 108 Cases Intestinal Rupture

Objective: To improve the technology in treating intestinal rupture.Method: 108 cases with intestinal rupture were adopted in our local hospital.We analyzed stastically the trauma causes diagnosis treatment and complication.Result: The occupied rate of traffic accident injury of falling collision injury kick in knife wound and otherinjuries is 44.44%(48 cases),19.44%(21 cases), 17.59%(19 cases),8.33%(9 cases),7.41%(8 cases),2.78%(3 cases) respetively 9 cases complicated with incision infection,4 cases with intestinal adhesion.3 cases with mods.2 cases with incision rupture and lung infection.105 cases were cured.3 cases were dead.The death causes was MODS resulted from traumatic and infections shock.Conclusion: For the intestinal rupture patients early diagnosing and suitable operation rising throughly and suitable drainage early using antibiotics which can decrease the complication and death rate.