摘要
目的探讨闭合性肠系膜损伤的诊治。方法对1992年10月 ̄2004年10月收治的31例闭合性肠系膜损伤的临床资料进行回顾性分析。结果术前误诊为其他疾病23例(74.2%)。血肿清除术6例,肠切除术5例,肠系膜上静脉修补术4例,肠系膜上静脉结扎术2例,肠系膜修补术13例,结肠造口术1例。术后腹腔脓肿1例,切口感染2例,切口裂开1例。死亡1例。结论闭合性肠系膜损伤缺乏特征性临床表现,容易漏诊误诊。早期诊断及手术治疗能有效降低病死率,预防并发症发生。
[Objective] To study the treatment of closed mesentcric injury. [Methods] The clinical date of 31 cases of dosed mesenteric injuries form October 1992 to October 2004 were analyzed retrospectively. [Results] 23 cases (74.2%) had been misdiagnosed preoperatively. Clearance of sludged blood were performed in 6 cases, resection of intestine in 5 cases, repair of sunerior mesenteric vein in 4 cases, ligation of superior mesenteric vein in 2 cases, repair of rnesenteric defect in 13 cases and colostomy in 1 case. In the 31 cases, 1 case died, wound was infected in 2 cases, wour, d crocked in 1 case. [Conclusions] The dosed mesentetic injury lacks typical clinical presentation, a.nd misdlagnosis is not uncommon, The correct diagnosis and emergent operation can lower the mortality of the trauma and certai, complications.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2007年第1期111-113,共3页
China Journal of Modern Medicine
关键词
腹部损伤
肠系膜损伤
外科手术
abdominal injuries
mesenteric injury
surgical operation