自发性腹壁血肿诊断及治疗:附13例报告

Diagnosis and Treatment of Spontaneous Abdominal Wall Hematoma: A Report of 13 Cases

目的:通过回顾临床病例,探讨自发性腹壁血肿的诊断及治疗方法。方法:总结分析大理大学第一附属医院2010年至2017年收治的13例自发性腹壁血肿患者的临床资料。结果:行保守治疗5例,行血肿清除术7例,误诊为阑尾炎1例,13例均治愈。结论:全面详细地询问病史,结合相关影像学检查做到早诊断、早治疗,以免延误病情。

Objective： To investigate the diagnosis and treatment of spontaneous abdominal wall hematoma by reviewing clinical eases. Methods： The clinical data of 13 patients with spontaneous abdominal hematoma admitted to the First Affiliated Hospital of Dali University from 2010 to 2017 were analyzed. Results： There were 5 cases with conservative treatment, 7 cases with hematoma removal, 1 ease with misdiagnosis of appendicitis, and 13 cases were cured. Conclusion： A comprehensive and detailed medical history is required. Early diagnosis and early treatment can be done in combination with relevant imaging examinations to avoid delay of illness.