创伤性肠破裂180例临床治疗体会

The clinical experience of 180 cases with traumatic rupture intestine

目的 :探讨肠破裂的机理、诊断和治疗。方法 :回顾性分析 180例创伤性肠破裂的临床资料。结果 :治愈 171例 ( 95% )死亡 9例 ( 5% ) ,其中 5例死于严重多发伤。发生切口感染、腹腔残余脓肿、肠瘘、肠粘连等并发症 80例 ( 4 4.4 % )。结论 :腹腔穿刺诊断肠破裂阳性率高 ,CT检查具有鉴别诊断意义 ,早期诊断早期手术是提高治愈率、降低死亡率及并发症的关键。一旦具有手术指征 ,应尽早剖腹探查。

Objective: To evaluate the cause, diagnosis and treatment to the traumatic rupture of intestine. Methods: The clinical data of 180 patients treated for traumatic rupture of intestien were analysed retrospectively. Results:171 cases recovered and 9 died, which included 5 associated injuries. The mortality rata was 5%. There were 80 complications including cutting infection、 abdominal abscess、 peritoneal infection and intestine conglutination. Conclusion: Abdominal aspiration are important to diagnose the traumatic rupture of intestine and CT can differ diagnosis to abdominal injury. The early diagnosis.and operation are the key to improve the cure rata, cut down the death rata and reduce complication. The opertion should be performed as early as possible after diagnosis.