创伤性腹壁疝

Traumatic abdominal hernia

目的提高对创伤性疝的认识。方法对3例创伤性腹壁疝的临床资料进行回顾性分析。男2例,女1例,平均年龄34岁,3例均系腹部撞至板车把手后隆起一包块,疼痛。结果3例均手术回纳肠管行疝修术。腹腔内脏器无破损。结论本病为腹部突然受到强大的直接钝性暴力伤,致使腹壁下肌群猛烈收缩而撕裂所致。因常伴腹内脏器损伤,积极手术既可避免遗漏腹内损伤,又能回纳肠管行疝修补术。

Objective To increase the knowledge of traumatic abdominal symptom. Methods The clinical datas of 3 cases undergoing traumatic abdominal hernia were retrospectirely reviewed including. Male 2 cases and female 1 case. The average age was 34 years old. 3 cases were impacted by carpentry car or with a intumescent tumor painly. Results The 3 patients were operated with return intestingal canal hernioplasty,the splanchnic organ in abdomiral cavity weren＇t injured. Conclusion The illness is caused by great straight passiration injmy and caused abdominal inferior mriscles contract and dilacerate not only can avoid the abdominal lesion, but also Because this illness usually has the atrium injured, active opertion can do the return intestinal canal herniolasty.