106例外伤性腹腔脏器破裂患者的救治

Emergent treatment of 106 patients with traumatic visceral rupture

９年间救治成功的１０６例外伤性腹腔脏器破裂患者（其中肝破裂１９例，脾破裂４６例，胃破裂１０例，十二脂肠破裂３例，空肠、回肠破裂１９例，结肠破裂７例，胰腺破裂７例；复合创伤者４５例，特重症１８例）的救治成功经验：迅速组织强有力的抢救组进行抢救；加强治疗和护理，立即开放两条以上静脉通道积极扩容，从速作好术前准备；抗休克的同时行紧急剖腹探查、剖腹止血及修补破裂的脏器是治疗本病的关键性措施；特重症病例配合“四大一支持”等独特、快速、果断、正确。

The successful emergent treatment of 106 patients with visceral rupture following trauma in nine years was reported.The patients included 19 case of hepatic rupture,46 splenic rupture,10 gastric rupture,three duodenal rupture,19 jejunal and ilial rupture,seven colonic rupture,seven pancreatic rupture,and 45 complex trauma,among whom 18 were severely tramatized.Our experience of success is as follows:(1)rapid organization of a skillful treatment group for emergent treatment;(2)enhancement of the treatment and nursing care;(3)immediate establishment of two or more venous lines for volume expansion;(4)prompt preoperative preparation;(5)laparotomy for hemostasis and repair of the ruptured organs;(6)taking special therapeutic measures and intensive care in critically ill patients.