腹部闭合性外伤性小肠破裂32例临床分析

Clinical analysis of 32 cases with abdomen traumatic closed small intestine rupture

目的探讨腹部闭合性外伤性小肠破裂的早期诊断和治疗方法。方法回顾性分析手术治疗的腹部闭合性外伤性小肠破裂32例临床资料。结果32例腹部闭合性外伤性小肠破裂全部手术治愈,术后发生肺部感染1例,腹腔内感染1例,肠粘连梗阻1例,切口感染2例,均经保守治疗治愈。结论掌握腹部闭合性外伤性小肠破裂的临床特点,及时诊断与合理治疗是提高临床治愈率和降低术后并发症发生率的关键。

Objective To investigate the early diagnosis and treatment methods of abdomen traumatic closed small intestine rupture. Method The data of 32 cases with abdomen traumatic closed small intestine rupture from the year of 2003,7 to 2007,9 were analyzed retrospectively. Results All of the patients got recoverd after the operation, one patient had lung infection, one abdominal cavity infection, two infection of incisional wound, other patient sufferd from adhered intestine obstruction, they all recoverd well after the expectant treatment. Conclusion Early diagnosis and rational management can improve the curative rate and reduce the incidence rate of post - operation complications for the patients with abdomen traumatic closed small intestine rupture.