腹部闭合性创伤引起空、回肠破裂165例临床分析

Clinical Analysis of 165 Cases of Jejunoileum Rupture Caused by Closed Abdominal Trauma

本文对165例腹部闭合性创伤引起空、回肠破裂的发病机理进行了探讨,初步发现直接暴力所致腹部损伤分为加速性和减速性损伤2种。其中加速性损伤,75%发生在着力部位小肠,25%发生在空肠起始部及末端回肠;而减速性损伤,75%发生在空肠起始部及末端回肠。同时对早期诊断、及时治疗、降低死亡率进行讨论。

A study was made of the pathological mechanism of 165 cases of jejunoileum rupture caused by closed abdominal trauma. We found that abdominal trauma caused dy direct force could be divided into accelerated injury and decelerated injury. Of the accelerated injury, 75% was damaged in the intestines, 25% was found on the initial part of jejunum and the ending part of ileum. Of the decelerated injury, 75% was damaged on the initial part of jejunum and the ending part of ileum. The early diagnosis, prompt treatment, reducing death rate were also discussed.