腹部开放性刺伤89例临床分析

Clinical Analysis of 89 Patients with Open Abdominal Stab Wounds

目的:探讨腹部开放性刺伤的临床特点、诊断方法、手术方式及术中的注意事项。方法:回顾性分析我院2007年1月至2009年10月收治的89例腹部刺伤病例的临床资料。结果:89例均明确诊断为腹腔开放伤,经急诊手术,痊愈出院86例,术中死亡1例,术后死亡2例。结论:积极抗休克、及时剖腹探查是救治腹部开放性刺伤成功的关键。

Objective： To investigate the open abdominal stab the clinical features, diagnostic methods, surgical methods and intraoperative precautions. Methods： The clinical data of 89 patients with abdominal stab wound were analyzed retrospectively from Jan 2007 to Oct 2009. Results： 89 patients were diagnosed as open abdominal wound and were accepted emergency exploratory surgery＇. 86 cases discharged from hospital, 1 died intraoperative and 2 died after operation. Conclusion： It is the key of successful treatment to active anti-shock and timely laparotomy.