急腹症患者行急诊腹腔镜检查与治疗的临床分析(附364例报告)

目的:探讨急腹症患者行急诊腹腔镜检查与治疗的可行性及应用价值。方法:回顾性分析我院2001年1月至2003年6月收治的364例急腹症患者行急诊腹腔镜检查与手术治疗的临床资料。结果:所有患者入院后早期(6h内)急诊行腹腔镜检查。根据探查所见决定手术方式。其中腹腔镜手术302例,中转手术62例。结论:急腹症患者,各项生命体征平稳能够耐受气腹是急诊腹腔镜探查的适应证,特别对于入院诊断不明确的患者,具有早期诊治,减轻痛苦,缩短住院时间,降低住院费用的优点。

The diagnosis and treatment of acute abdomen with laparoscope

Objective:To study the feasibility and the value of applying the emergency laparoscopic operation as an emergency treatment on the patients with the acute abdomen.Methods:Retrospectively analyzed 364 cases of the patients with the acute abdomen,which undergoing the detection and therapy with the emergency laparoscopic operation as an emergency treatment,from Jan.2001 to June.2003.Results:All the patients early(<6h) take the emergency laparoscopic operation for the detection,and then the method of operation was up to the results of detections.Among 302 patients with the emergency laparoscopic operation;62 patients was transferred to the conventional operation.Conclusions:It is the application for the detection with the emergency laparoscopic operation that every vital sign was stable under air-abdomen during the emergency laparoscopic operation.The emergency laparoscopic operation had the advantages of earlier diagnosis,lighter pain,shorter hospitalization and lower expenditure to the patients with the acute abdomen,especially hard to diagnose.