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外伤性血腹38例临床分析
引用本文:蔡郁,陈扬华,张子恒. 外伤性血腹38例临床分析[J]. 岭南急诊医学杂志, 2008, 13(4): 264-265
作者姓名:蔡郁  陈扬华  张子恒
作者单位:广东省电白县人民医院外科,525400;广东省电白县人民医院外科,525400;广东省电白县人民医院外科,525400
摘    要:目的:为进一步提高外伤性血腹的诊治水平。方法:回顾性分析我院38例外伤性血腹患者的临床资料。结果:83例患者均接受手术,治愈36例,死亡2例;术后并发切口感染8例,切口裂开2例,肠粘连、肠梗阻5例。结论:外伤性血腹病情复杂严重,合并伤多,早期诊断,及时手术,选择合式的手术方式等是减少并发症降低病死亡率的重要因素。

关 键 词:外伤  血腹  诊治

Clinical Analysis of 38 Patients with Traumatic Intra-Abdominai Hemorrhage
CAI Yu,CHEN Yang-hua,ZHANG Zi-heng. Clinical Analysis of 38 Patients with Traumatic Intra-Abdominai Hemorrhage[J]. Lingnan Journal of Emergency Medicine, 2008, 13(4): 264-265
Authors:CAI Yu  CHEN Yang-hua  ZHANG Zi-heng
Affiliation:(Department of Surgery, the People's Hospital of Dianbai county, Guangdong Province, 525400)
Abstract:Objective:To further improve the level of diagnosis and treatment traumatic for intra-abdominal hemorrhage in patients. Methods:Clinical data of 38 cases of traumatic intra-abdominal hemorrhage were retrospectively analyzed. Results:While all cases had received operative treatment, 36 cases were cured, 2 cases died. There were the complications in the periol of treatment, including 8 cases of wound infection, 2 cases wound dehiscence, 5 cases intestines adhesion and intestines obstruction. Conclusion: The most important determinant in managing intra-abdominal hemorrhage was early diagnosis, prompt operation and correct treatment, and it should be the key to improve the rate of salvage and decrease the rate of morbid.
Keywords:trauma  hemorrhage  diagnosis and treatment
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