外伤性结肠破裂急诊处理体会经验分析68例

Experience in emergency management of traumatic colonic rupture:a report of 68 cases

目的:分析外伤性结肠破裂急诊处理疗效及护理治疗体会。方法:2020年1-5月收治外伤性结肠破裂患者68例,分析急诊处理方式和结果,探讨处理方式和预后间的关系。结果:Ⅰ期手术59例,Ⅱ期手术9例。Ⅰ期治愈率高于Ⅱ期,并发症发生率及死亡率均低于Ⅱ期,差异有统计学意义(P<0.05)。结论:针对外伤患者需要及时检查诊断,若发现或疑似外伤性结肠破裂且和Ⅰ期手术治疗标准相符需尽快进行手术,而针对腹腔污染严重且伴随多器官功能损伤、年龄较大的患者、有较多合并症患者需要应用Ⅱ期手术进行治疗。

Objective:To analyze the curative effect of emergency treatment of traumatic colonic rupture and summarize the experience of nursing treatment.Methods:From January to May 2020,68 patients with traumatic colonic rupture were selected,the emergency treatment methods and results were analyzed,and the relationship between management and prognosis was discussed.Results:There were 59 cases of stageⅠoperation and 9 cases of stageⅡoperation.The cure rate of stageⅠwas higher than that of stageⅡ,and the incidence of complications and mortality were lower than those of stageⅡ,and the difference was statistically significant(P<0.05).Conclusion:Patients with trauma need to be examined and diagnosed in time,and if traumatic colonic rupture is found or suspected and is consistent with the standard of stageⅠoperation,operation should be carried out as soon as possible.However,for patients with severe abdominal pollution and accompanied with multiple organ function injury,older patients and more patients with complications need to be treated with stageⅡoperation.