闭合性腹部创伤128例诊治分析

Emergency diagnosis and treatment for blunt abdominal injury: An analysis of 128 cases

目的提高闭合性腹部创伤的早期诊断与抢救成功率。方法对泰州市人民医院2009-2011年收治的128例闭合性腹部创伤临床资料进行回顾性分析。结果急诊手术113例,保守治疗15例;治愈117例,死亡11例。结论闭合性腹部创伤多为多部位多脏器合并伤,及早进行诊断性腹腔穿刺及B超等检查,尽快明确诊断,有效进行血容量维持,合理规范化救治,是提高闭合性腹部创伤病人救治成功率的关键。

Objective To improve the early diagnosis and salvage achievement ratio of blunt abdominal injury. Methods One hundred and twenty-eight cases of blunt abdominal injury treated from 2009 to 2011 in Taizhou People’s Hospital were reviewed retrospectively. Results Of the 128 cases of blunt abdominal injury, 113 cases received surgical treatment, 15 cases received conservative treatment. After treatment, 117 cases were cured and 11 patients died. Conclusion Most abdominal injuries were multi-site and/or multi-organ associated injuries. Diagnostic peritoneal puncture and ultrasonography were simple and reliable diagnostic methods. As soon as possible to final diagnosis, maintenance blood volume and reasonable normalization remedy were the keys to improve the early diagnosis and salvage achievement ratio of blunt abdominal injury.