摘要
Abstract AIMS To summarize our experience in the diagnosis and treatment of 119 patients with traumatic visceral rupture. METHODS 122 patients (21 women, 101 men, with an average age of 44 75 years) were studied. The causes of injury included bullet wound, stabbing wound, falling from building, traffic accidents, etc. First, over 2 venous passages were opened immediately, and pre operative preparations were made as quickly as possible and the patient was put immediately under ICU monitoring. Then, emergent exploration was carried out to stop bleeding and repair the ruptured viscera. In 20 patients with severe illness, the combined therapy of “FHDOS” was used (Four High Doses in Large Volume and One Supporte: short period high doses in large volume Anisodaminum, short period high doses in large volume Dexamethoxonum, high doses in large volume of antibiotics, high doses in large volume of abdominal cavity washing liquid and one nutritional support).
目的本文旨在报告１１９例外伤性腹腔脏器破裂的诊断和救治经验。方法本组患者１２２例，其中１１９例救治成功。采用迅速组织强有力的抢救组进行抢救，加强治疗和护理，采用诊断性腹腔穿刺，Ｂ超检查明确诊断，立即开放二条以上静脉通道积极扩容，从速作好术前准备，抗休克的同时行紧急剖腹探查术，配合“四大一支持”综合疗法和ＩＣＵ监测。结果１２２例患者中，１１９例救治成功，３例死亡，死亡率为２５％。结论救治要求快速、果断、正确、合理。首先要及早明确诊断，积极抗休克的同时，立即行剖腹手术止血和修补破裂的脏器，术中避免漏诊，并行ＩＣＵ监测，特重症患者采用“四大一支持”综合疗法，预防和合理处理并发症，这是我们取得成功的经验。
