腹部闭合性损伤的早期救治(附87例分析)

Early treatment of abdominal closed injuries

目的 提高腹部闭合性损伤的救治水平。方法 回顾分析 87例腹部闭合性脏器损伤患者的早期救治。结果 全组治愈 81例。并发症 9例 :肺部感染 3例 ,急性呼吸窘迫综合征 1例 ,多器官功能衰竭 1例 ,肾功能不全 1例 ,切口感染 1例 ,骨折畸形愈合 1例 ,脾窝积液 1例。死亡 6例。结论 在对腹部闭合性损伤患者施行早期救治时 ,及早进行诊断性腹穿及B超检查 ,尽快明确诊断、积极正确地抗休克治疗、早期剖腹探查是提高腹部闭合性损伤病人救治成功率的关键。

Objective To improve the grade of treatment of abdominal closed injuries.?Methods The clinical data of 87 cases with abdominal closed injuries were analyzed retrospectively.?Results Among 87 cases,there were 81 cases cured,inwhich 9 cases had complication and 6 cases died.?Conclusion In order to obtain a successful treatment of abdominal closed injury,early diagnosis must be obtained by diagnostic abdominal paracentesis and ultrasonic diagnosis.Shock should be treated actively and exploratory laparotomy should be performed.