206例腹部闭合性损伤的临床诊治分析

DIAGNOSES AND TREATMENTS OF 206 CASES OF ABDOMINAL CLOSED INJURY

目的探讨腹部闭合性损伤的临床诊治措施。方法回顾性分析206例腹部闭合性损伤患者的临床资料,包括诊断、治疗方法及预后等。结果诊断情况:腹腔穿刺确诊189例,确诊率91.75%(189/206);B超检查确诊148例,确诊率73.27%(148/202);CT检查确诊202例,确诊率100%(206/206),其中28例经强化CT检查确诊。治疗效果:21例非手术治疗患者全部治愈;181例手术治疗患者,治愈180例,治愈率为99.45%(180/181),另1例因胰腺、十二指肠、结肠严重复合伤,术后死于创伤性、感染性休克、多器官功能性衰竭。另有4例患者为严重的肝、脾外伤,入院时已濒死状态,经抢救无效死亡。结论腹部闭合性损伤应尽快明确诊断,根据病情不同及时采取手术治疗或非手术治疗。

Objective To explore the diagnosis and treatment of abdominal closed injury. Methods The diagnoses, treatmets and prognoses of 206 cases of abdominal closed injury were retrospectively analyzed. Results 189 cases （91.75%） were confirmed by abdoominal paracentesis, 148 cases（73.27） by B-ultrasonography and 202 cases （100%） by CT scanning. 28 cases received enhanced CT scanning. 21 cases recovered without operation. 181 cases were operated on and 180 of them （99.45%） recovered. One case suffering from the combination of pancreatic, duodenum and clon injuries died from postoperatively traumatic and infectious shock and function fail- ure of many organs. Another 4 cases at risk died after first aids. Conclusion Timely confirmed diagnoses and immediate treatments are the key to the recovery of abdominal closed injury patients.