腹部外伤腹腔内出血CT定量及外科治疗分析

CT vs surgical quantification of intraperitoneal hemorrhage caused by abdominal trauma

目的:探讨腹部外伤腹腔内出血的CT定量及外科治疗方法。方法:选取2015年12月至2018年6月广州市增城区人民医院收治的60例腹部外伤腹腔内出血患者作为研究对象,CT定量计算分析腹腔内出血量,外科手术后比较CT计算腹腔内出血量与实际手术出血量,随访6个月,分析患者术后恢复情况。结果:CT计算出血量与手术实际出血量比较,差异无统计学意义(P>0.05);截至随访终点,60例患者中52例I期愈合、3例并发右膈下感染、2例发生切口感染裂开、3例并发盆腔内感染积液,予以对症处理后均治愈。均未发生死亡。结论:CT定量分析是一种较为准确的计算腹腔内出血的方法,能够为腹腔损伤患者的治疗提供诊断依据,对于腹腔内出血量较大的患者,应予以积极手术治疗。

Objective:To explore for CT quantification and surgical treatment for intraperitoneal hemorrhage caused by abdominal trauma.Methods:Included in this study were 60 patients with intraperitoneal hemorrhage caused by abdominal trauma admitted to the Zengcheng District People’s Hospital,Guangzhou,between December 2015 and June 2018.The amount of intraperitoneal hemorrhage was quantitatively determined with CT and compared with the actual amount as determined after surgery.The patients were followed up for 6 months and analyzed for postoperative recovery.Results:There was no significant difference in intraperitoneal blood loss between CT quantification and surgical determination(P>0.05).As of the end of follow-up,of the 60 patients,there were 52 patients with wound healing by primary intention,three with right subphrenic infections,two with wound dehiscence and infection,and three with pelvic infection and effusion.All complicated cases were cured after symptomatic treatment.No deaths were noted.Conclusion:CT quantification can be an accurate method to calculate the intraperitoneal blood loss and offer a diagnostic basis for the treatment of patients with abdominal trauma.Patients with massive intraperitoneal hemorrhage should be treated aggressively with surgery.