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老年闭合性腹部损伤的早期诊断与处理

Early diagnosis and treatment of the closed abdominal injury in the senile patients
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摘要 目的总结老年性腹部损伤的早期诊断与处理要点。方法回顾性分析120例闭合性腹部损伤的临床资料。120例全部接受手术治疗。肝修补29例,肝叶切除5例,脾切除44例,脾修补6例,肠切除5例,肠修补16例,胰腺修补4例,膈修补6例,结肠造瘘6例。结果手术治愈率90%,死亡12例,死亡率10%,术中死亡3例,术后死亡9例。结论早期诊断、早期手术、综合治疗,是降低病死率,提高生存质量的重要因素。 Objective To summarize the early diagnosis and treatment of the closed abdominal injury in the senile patients. Methods 120senile patients with closed abdominal injury were analyzed retrospectively.All patients underwent operative treatment.Repair of hepatic rupture was performed in29cases,hepatectomy in5cases,splenectomy in44cases,repair of spleen in6cases,enterectomy in5cases,intestinal repair in16cases,repair of pancreas in4cases,repair of diaphragmatic rupture in6cases and colostomy in6cases. Results The operative cure rate was90%.12cases died.Among them,3cases died intraoperatively and9died postoperatively.The mortality rate was10%.Conclusion Early diagnosis,early operation and combined treatment are important factors to reduce the mortality rate and improve the survival quality.[
出处 《岭南现代临床外科》 2003年第2期119-121,共3页 Lingnan Modern Clinics in Surgery
关键词 老年 闭合性腹部损伤 早期 Elder Closed abdominal injury Early stage
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