腹部闭合性创伤患者132例的诊治分析

Diagnosis and treatment analysis of 132 patients with abdomen closed trauma

目的:分析腹部闭合性创伤患者的诊断及治疗方法。方法:对132例腹部闭合性创伤患者的临床资料以及诊断方法进行回顾性分析。结果:132例患者均行腹腔穿刺检查,阳性121例(91.67%);53例患者行X线检查,膈下游离气体17例(32.07%);118例患者行B超检查,阳性101例(85.59%);86例患者行CT检查,脏器损伤61例(70.93%);手术治疗118例(89.39%),治愈110例(93.22%),术中、术后死亡8例(6.78%);保守治疗14例(10.61%),全部治愈或好转出院。结论:腹部闭合性创伤患者病情危重,要及时确诊、及时抢救,控制患者腹部出血状况,尽早进行手术治疗,提高患者的治愈率。

Objective:To analyze the diagnosis and treatment method of patients with abdomen closed trauma.Methods:Theclinical data and diagnostic methods of 132 patients with abdomen closed trauma were retrospectively analyzed.Results:132patients were given abdominal puncture examination,121 cases(91.67%) were positive.53 patients were given X-ray examination,17 cases(32.07%) had subphrenic free air.118 patients were given B-ultrasonic examination,101 cases(85.59%) were positive.86patients were given CT examination,61 cases(70.93%) had organ injury.118 patients(89.39%) were given operative treatment,110cases(93.22%) were cured,8 cases(6.78%) were intraoperative and postoperative died.14 cases(10.61%) were given conservativetreatment,all were cured or improved hospital discharge.Conclusion:The patients with abdomen closed trauma in critical conditionshould be given timely diagnosis,timely rescue,controlling the abdominal bleeding condition of patients,as soon as possiblecarrying out the surgical treatment can improve the cure rate of patients.