闭合性腹部损伤62例临床分析

Clinical Analysis of 62 Cases of Blunt Abdominal Injury

目的:探讨闭合性腹部损伤的临床特点及其诊疗方法,以提高其愈率及改善患者预后。方法:回顾性分析2010年6月-2011年6月笔者所在医院所收治的62例闭合性腹部损伤患者的的一般情况、临床表现、诊治方法及预后等临床资料。结果:本研究62例闭合性腹部损伤患者,早期确诊35例,补充诊断确诊24例,尸检诊断确诊3例;经治疗,治愈52例,死亡10例;治疗期间并发切口脂肪液化3例,胆汁漏3例,胰瘘1例,后经对症治疗,均治愈出院。结论:闭合性腹部损伤患者病情复杂、危重,给予早期诊断、早期抗休克治疗及剖腹探查,以及选择合理术式是提高治愈率、降低病死率的关键。

Objective：To investigate the clinical features and diagnosis,treatment of closed abdominal injuries,in order to improve the cure rate and improved patient outcomes.Methods：Retrospective analysis of 62 cases of patients with the closed abdominal injuries in our hospital from June 2010 to June 2011,and the normal circumstances,clinical manifestations,diagnosis,treatment and prognosis and clinical data were analyzed.Results：62 cases of patients with closed abdominal injuries with early diagnosis of 35 cases,supplementary diagnosis confirmed 24 cases,autopsy diagnosis confirmed three cases;52 cases were cured and 10 died;During treatment of concurrent wound fat liquefaction three cases,bile leakage 3 cases of pancreatic fistula after symptomatic treatment,were discharged.Conclusion：Patients with blunt abdominal injury is complex and critical,and the early diagnosis is given,early anti-shock treatment and laparotomy,the key steps and chosing a reasonable procedure is to improve the cure rate and reduce mortality.