摘要
目的:总结创伤性腹膜后血肿(RH)的诊治体会,以提高诊治水平。方法:回顾性分析26例创伤性腹膜后血肿的临床资料,分析致伤机制、临床特点、治疗及影响正确诊断的因素。结果:26例RH患者术前确诊7例,剖腹探查19例,因RH无特征性临床表现,且常为所合并脏器损伤的症状掩盖。结论:腹部损伤的患者经复苏治疗后仍有不明原因的内出血征象时,应高度怀疑RH的可能。应适当放宽剖腹探查指征,对不同部位的RH术中应作出不同的处理。
Objective：To improve diagnosis and treatment of traumatic retroperitoneal hematoma.Methods：Clinical material in 26 cases of RH is reviewed.Mechanism of injury,clinical features and the factors that effect the correct diagnosis were analysed.Results：of the 26 patients of RH,there were only 7 cases being diagnosised preoperatively.The reasons for this are that the clinical presentations of RH show no characteration and RH is often concealed by symptoms of injured visera.Conclusions：After patients with injured abdomen regain consciousness,and internal hemorrhage is observed without apparent reasons,we should be highly alert to the possibility of RH.B ultrasound and CT have great significance in diagnosis of RH,and the medications for laparotomy ought to be extended appropriately.For differert positions for RH,there should be different management in operation accordingly.
出处
《安徽卫生职业技术学院学报》
2011年第1期43-44,共2页
Journal of Anhui Health Vocational & Technical College
关键词
腹膜后血肿
创伤
诊断
治疗
Retroperitoneal Hematoma
trauma
diagnosis
treatment
