摘要
目的总结腹部外伤诊治经验,提高腹部外伤救治水平。方法以2005年1月—2007年12月间收治的249例腹部外伤患者为研究对象,回顾性分析这些患者的诊治情况。结果249例中治愈244例,治愈率97.99%,死亡5例,死亡率2.00%。手术211例,治愈209例,手术治愈率99.05%。腹腔穿刺阳性,开腹后无需处理共9例,占3.61%。结论详尽的临床观察和分析,适时重复使用特殊检查是早期正确诊断的关键;及时适当的处理则是降低死亡率的关键。
Objective To study the diagnosis and treatment of abdominal trauma to improve the remedy level of abdominal trauma. Methods Two hundred and forty-nine cases with abdominal trauma were selected and the diagnosis and treatment data were analyzed retrospectively. Results Among the 249 patients, 244 patients were cured （97.99%）, 5 patients died （2%）. 211 patients were operated, and 209 patients were cured （99. 05% ）. Nine patients （3. 61% ） had false-positive abdominocentesis findings for abdominal injury. Conclusion Intensive observation and repeated examinations were the keys to abdominal trauma diagnosis, and correct treatment in time would decrease the case-fatality.
出处
《同济大学学报（医学版）》
CAS
2008年第5期91-93,共3页
Journal of Tongji University(Medical Science)
关键词
腹部外伤
严密观察
重复检查
剖腹探查
abdominal trauma
intensive observation
repeated examination
exploratory laparotomy
