108例外伤性小肠破裂患者的临床分析

Clinical Analysis of 108 Patients with Traumatic Rupture of Small Intestine

目的探讨108例外伤性小肠破裂患者的临床治疗情况。方法回顾性分析我院108例外伤性小肠破裂患者的临床资料,按手术时间分为<2 h治疗组79例和>12 h治疗组29例,均进行手术治疗,比较两组患者的治愈率、病死率和并发症发生率。结果 <12 h治疗组患者,治愈72例,占91.1%;病死7例,占8.9%,并发症发生率为3.8%;>12 h治疗组患者,治愈15例,占51.7%,病死14例,占48.3%,并发症发生率为34.5%,两组比较差异有统计学意义(P<0.05)。结论在外伤性小肠破裂的临床治疗中,早期诊断、合理治疗可提高治疗效果,降低并发症发生率及病死率。

Objective To explore the clinical treatment of 108 cases of traumatic rupture of smal intestine.Methods A review of 108 cases of traumatic rupture of smal intestine in patients with clinical data analysis,according to the operation time is divided into〈2 h treatment group of 79 cases and 29 cases of H treated group〉12,underwent operation treatment,compared two groups of cure rate,complication rate and mortality rate.Results〈12 h patients in the treatment group,72 cases were cured, accounting for 91.1%;7 cases died,accounted for 8.9%,the complication rate was 3.8%;H〉12 of patients in the treatment group,15 cases were cured,14 cases died,accounted for 51.7%, ccounted for 48.3%,the complication rate was 34.5%,there was significant difference between two groups（P〈0.05）. Conclusion In the clinical treatment of traumatic smal intestinal rupture,early diagnosis,reasonable treatment can improve the effect,reduce the incidence of complications and mortality rate.