腹部闭合性损伤769例临床分析

Blunt Abdominal Trauma Clinical Analysis of 769 Cases

目的总结腹部脏器闭合性损伤的诊治方法,提高腹部闭合性损伤的诊疗救治水平。方法回顾性分析我院10年来769例腹部脏器闭合性损伤患者的诊治情况,总结相关的经验和教训。结果单个实质性脏器和空腔脏器损伤各占47.94%和29.58%,2个以上脏器损伤占22.48%,合并颅脑外伤和胸腹联合伤各占7.3%和4.9%。诊断性腹腔穿刺、X线、B超和CT检查的阳性率分别为92.98%、93.23%、92.79%和91.32%。接受手术治疗718例,非手术治疗51例,分别占92.91%和7.09%,手术组术中后死亡47例,占手术病例的6.55%,其中术中死亡6例,术后死亡41例,非手术组死亡9例,占非手术病例的17.65%,全组病例死亡率为7.28%。结论结合受伤情况、临床症状和检查进行综合分析是提高诊断率的关键,选择及时正确的治疗手段对提高伤者的生存率起到重要作用。

Objective Summary of diagnosis and treatment of closed injury of abdominal organs methods to improve diagnosis and treatment of blunt abdominal trauma treatment level.Methods Retrospective analysis of 10 years in our hospital 769 cases of abdominal diagnosis and treatment of patients with blunt injury,summarizing the experiences and lessons learned.Results The single substantive organs and hollow organs damage each 47.94% and 29.58%,more than two accounted for 22.48 percent organ injury, with brain injuries and thoracoabdominal injuries each accounted for 7.3% and 4.9%.Diagnostic abdominal puncture,X ray,B ultrasound and CT,the positive rate was 92.98%,93.23%, 92.79% and 91.32%.Surgery 718 cases,51 cases of non-surgical treatment,which accounted for 92.91% and 7.09%,47 patients died after surgery,accounting for 6.55% of surgical cases, of which 6 cases of intraoperative death, after death,41 cases of non-surgical group 9 patients died, accounting for 17.65% of non-surgical cases,mortality rate for all patients 7.28%.Conclusion The combination of injuries, clinical symptoms and examination is a comprehensive analysis of the key to improving diagnosis,select the correct treatment in time to improve the survival rate of the injured play an important role.