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外伤性肠破裂100例诊治体会
引用本文:冯培勤 刘俊三. 外伤性肠破裂100例诊治体会[J]. 山东医学高等专科学校学报, 1993, 15(2): 109-112
作者姓名:冯培勤 刘俊三
作者单位:临沂医专外科学教研室,沂水县马站医院外科
摘    要:报告近16年手术治疗外伤性肠破裂100例,治愈率96%,死亡率4%。总结其诊治体会。诊断中应注意:①详细询问病史;②全面仔细查体;尤其对一时不能明确诊断者,应反复检查比较,掌握动态变化的情况;③反复多部位的腹腔穿刺;④腹部X光线检查;⑤及时认真地剖腹探查。治疗中应注意:①有手术指征者尽早手术;②术中探查应动作迅速、目的明确,彻底不漏和有条不紊;③术式以简单有效为原则,每段肠段损伤应视伤情选用合适术式;④反复冲洗,有效的腹腔引流和合理的预防性应用抗生素。

关 键 词:创伤 肠破裂 外科手术

EXPERIENCE IN TREATING 100 PATIENTS WITH TRAUMATIC RUPTURE OF INTESTINE
Feng Peiqin et al Dept. of Surgery of Linyi Medical School,Shandong. EXPERIENCE IN TREATING 100 PATIENTS WITH TRAUMATIC RUPTURE OF INTESTINE[J]. Journal of Shandong Medical College, 1993, 15(2): 109-112
Authors:Feng Peiqin et al Dept. of Surgery of Linyi Medical School  Shandong
Abstract:100 cases with traumatic rupture of intestine are reported in recent 16 years,cure rate 96%, death rate 4%. The experience was summarized as follows. 1. Asking case history in details. 2. Careful and general physical-check up,especially for those who can not be diagnosed clearly. 3. Abdominal cavity puncture repeatedly. 4. Abdominal survey with x-ray in time. 5. Exploration laparotomy and preventive using of antibiotics as well.
Keywords:Wounds and injuries  Surgical operation
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