闭合性腹部损伤64例临床分析

目的探讨闭合性腹部损伤的临床诊治方法。方法回顾性总结64例闭合性腹部损伤患者临床资料，分析闭合性腹部损伤的临床特点。结果闭合性腹部损伤的男女比是2：1，青壮年男性是高发人群，有100％的明确外伤史，车祸挤压伤31例（48．4％），CT、超声检查诊断48例（75％），腹腔穿刺诊断59例（92．3％），64例患者其中手术治愈49例，非手术治愈12例，死亡3例。2例患者因多器官功能障碍死亡，1例患者因合并脑外伤死亡。结论详细询问外伤史十分重要，CT、超声检查应为首选检查，腹腔穿刺简单易行，反复穿刺可提高诊断率，闭合性腹部损伤以手术治疗为主。

Clinical analysis of 64 cases of closed abdominal trauma

Objective To investigate the clinical diagnosis and treatment of blunt abdominal trauma(BAT).Methods The clinical data of 64 patients with BAT were retrospectively analyzed.Results 49 patients treated by surgery were cured and 12 cases treated by non-surgery were cured.3 patients died,two of them died for multi-organ dysfunction and one of them died for brain trauma.Conclusion Because the BAT is severe and complicate,so it shoald be diagnosed and treated as soon so possible.