67例外伤性小肠破裂的诊断及治疗策略

Diagnosis and treatment strategies for 67 cases with traumatic rupture of small intestine

目的:探讨外伤性小肠破裂的诊断和治疗策略。方法:回顾性分析67例外伤性小肠破裂患者的早期诊断和治疗策略。结果:腹腔穿刺阳性率92%,腹部立位X检查阳性率76%,CT检查阳性率85%。其中56例行单纯性肠修补术,11例行肠切除术。术后发生并发症15例(22.4%),死亡3例(4.5%)。结论:外伤性小肠破裂诊断以腹部症状、体征为主要依据,结合腹穿、X线及CT检查是最常用且简单有效的提高本病诊断率的方法。对于外伤性小肠破裂患者应及时合理救治,减少术后并发症和病死率。

Objective To explore the diagnosis and treatment strategies of traumatic rupture of small intestine.Method Retrospective analysis was made on the early diagnosis and treatment strategies of 67 hospital patients with traumatic rupture of small intestine.Results The positive rate of abdominal puncture was 92%,the positive rate of abdominal orthostatic X-ray was 76%,CT checking-positive rate was 85%.For 56 cases with simple intestinal repair,11 cases with intestinal resection.The postoperative complications occurred in 15 cases（22.4%）,3 patients died（4.5%）.Conclusion The diagnosis of traumatic rupture of small intestine is mainly based on the abdominal symptoms and signs,combined with abdominal puncture,X-ray and CT examination is the most common,simple and effective method to improve the diagnosis rate.For patients with traumatic rupture of small intestine,we should take timely and reasonable treatment,and reduce the postoperative complications and mortality.