创伤性闭合性胃肠破裂32例诊治分析

Diagnosis and treatment analysis of 32 cases of closed traumatic gastrointestinal rupture

目的：探讨创伤性闭合性胃肠破裂的临床特点与诊治方法.方法：回顾性分析32例创伤性闭合性胃肠破裂患者的临床资料.结果：单一胃肠破裂24例（75.0%）,合并其他脏器损伤8例（25.0%）,腹部损伤复合其他伤11例（34.4%）.通过切除、修补、吻合或引流等手术治疗,30例（93.8%）治愈,2例（6.2%）死亡.结论：创伤性闭合性胃肠损伤容易误诊或漏诊,早期诊断、密切观察、及时手术治疗能提高疗效.

Objective： To investigate the clinical features, diagnosis and treatment methods of closed traumatic gastrointestinal rupture. Methods： The clinical data of 32 cases of gastrointestinal traumatic rupture were retrospectively analyzed. Results： Patients with single gastrointestinal rupture were in 24 cases （75.0%）, combined with other organ injuries were in 8 cases （25.0%）, and abdominal injuries patients in combined other injuries were in 11 cases （34.4%）. By excision, repair, anastomosis, drainage or other surgical, 30 cases （93.8%） were cured, 2 cases （6.2%） died. Con- clusion： Misdiagnosis and missed diagnosis rate of closed traumatic gastrointestinal was high, by early diagnosis, close observation and timely surgical treatment, the outcome can be improved.