闭合性腹部损伤118例临床分析

Clinical Analysis of 118 Cases of Blunt Abdominal Injury

目的进一步提高闭合性腹部损伤诊治水平。方法收集2013年1月—2015年7月收治的118例闭合性腹部损伤患者临床资料进行回顾性分析,分析患者受伤原因、损伤脏器种类、诊断、治疗及预后。结果闭合性腹部损伤受伤因素车祸最多见,占67.80%;腹部超声、诊断性穿刺阳性率较高,分别为81.4%和82.2%;正确诊断和及时治疗可改善患者预后,减少死亡率。结论闭合性腹部损伤常常伴有多发伤,诊断性腹腔穿刺、腹部超声是简单而有效诊断方法,尽早手术可减少死亡率。

Objective To further improve the diagnostic rate and treatment of blunt abdominal injury. Methods A retro-spective analysis was conducted on the clinical data of 118 cases with blunt abdominal injury admitted from 2013 to 2015. The causes of injury, the injured organ, diagnosis, treatment and prognosis in the patients were analyzed. Results Traffic accident was the most common cause of blunt abdominal injury in the patients, which accounted for 67.80%. The diagnostic rate of abdominal ultrasonography and diagnostic abdominal puncture was high, which accounted for 81.4% and 82.2%, re-spectively. Correct diagnosis and timely treatment can improve the prognosis of the patients and reduce the mortality. Con-clusion Blunt abdominal injury is often associated with multiple injuries. Diagnostic abdominal puncture and abdominal ul-trasonography are simple and effective diagnostic methods, and timely surgical treatment can reduce the mortality.