严重腹部闭合伤诊治体会

Treatment of Severe Abdominal Closure Wound

目的总结腹部闭合伤的诊治体会。方法对河南宏力医院2006年12月—2009年12月3年间,收治的严重腹部闭合伤68例进行回顾性分析研究。结果手术治疗62例,非手术治疗6例,治愈60例,死亡8例。结论腹腔穿刺、B超、X-线、CT检查对诊断腹部闭合伤的准确率高,在复苏及抢救休克的同时,应积极剖腹探查,正确掌握手术指征,这是救治成功的关健。

Objective To sumarize the cxperience of treatment of abdominal closure wound.Methods Retrospectively analyze the 68 cases of Dec 2006-Mar2009 in our hospital.Results Operation treatment 62 cases,non operation 6 cases,healed 60 cases,died 8 cases.Conclusion Abdominal cavity centesis,ultrasonnd B,X-ray,CT have a high diagnostic value for abdominal closure wound.Active abdominal exploration and correct mastering of operation signs are key of success.