外伤性小肠破裂26例诊治分析

Analysis on Diagnosis and Treatment of Traumatic Rupture of Small Intestine

目的讨论外伤性小肠破裂的诊断与治疗。方法分析26例小肠破裂的临床症状、体征、影像学检查及实验室改变,确定诊断的依据。26例中,单纯修补11例,经部分肠切除肠吻合15例,处理并发伤。术后常规抗感染等辅助治疗措施。结果26例均治愈出院,治愈率100%。结论综合分析临床资料和必要的辅助诊断,是诊断外伤性小肠破裂的主要依据;按伤情可酌情采用单纯修补或部份肠切除吻合,是主要治疗手段。

Objective To discuss the diagnosis and treatment of traumatic rupture of small intestine （TRSI）. Methods The materials of clinical symptom, signs, image and lab detection of 26 cases of such patient were analyzed and diagnosis had obtained. The simple repair was underwent in 11 cases and partial intestinal resection and anastomosis was underwent in 15 cases. The control of complication and routine antibiotics were taken after operation. Results All cases discharged when they were cured with 100% curative rate. Conclusion The mainstay of diagnosis should be synthesized with clinical symptom and signs as well as the auxiliary diagnosis of TRSI. The main treatment should be operated according to the situation and simple repair or partial resection could be performed.