外伤性腹膜后血肿的诊治分析

Analysis of Diagnosi and Treatment for Trauma Retroperitoneal Hematoma

目的:探讨外伤性腹膜后血肿的诊断和治疗方法。方法:回顾性分析1998年1月～2008年12月收治的外伤性腹膜后血肿163例的临床资料。结果:42例非手术治疗,全部治愈。121例手术治疗,其中剖腹手术治疗55例(33.7%),介入血管栓塞32例(19.6%),剖腹手术+介入血管栓塞34例(20.1%),腹膜后血肿切开56例(34.4%)。术后并发症16例,死亡7例。结论:腹膜后血肿伤情复杂,早期诊断是救治成功的关键,并强调根据不同类型的血肿及合并症给予个体化的治疗方案。

Objective:To investigate the diagnosis and treatment of patients with traumatic retroperitoneal hematoma.Methods:Clinical data of 163 cases with traumatic retroperitoneal hematoma admitted from January 1998 to December 2008 were studied retrospectively.Results:42 cases were treated by non-surgical treatment,and all were cured.121 cases received surgical operation,among them,55 cases(33.7%)laparotomy,32 cases(19.6%) received interventional vas embolism operation,34 cases(20.1%) received laparotomy + interventional vas embolism operation,56 cases(34.4%) with traumatic retroperitoneal hematoma underuent exploratory operation of hematoma,16 cases appeared complication in postoperative,7 patients died.Conclusion:Traumatic retroperitoneal hematoma is complicated and severe.Accurate early diagnosis are key points to savelife,and the individualized treatment according to different hematoma and associated injury should be emphasized.