摘要
目的 分析腹部创伤610例的临床资料。方法 分析了10年来收治的腹部创伤610例的临床资料。结果 多发伤占68％。闭合伤568例,开放伤42例。半数来院时已休克,剖腹手术536例(凡腹部穿刺阳性或体征明显可考虑剖腹),总死亡率8.8％。腹膜已破的穿透伤大多行手术,因胃肠伤污染时间延长造成的危害远大于阳性探查。肝后静脉损伤为腹外伤治疗的难题,填塞止血法仍为一可取的选择。结论 腹部外伤应早期诊断,早期治疗。
Objective To analyze the clinical data of 610 cases of abdominal injury. Methdos A total of 610 cases of abdominal injury admitted in the past 10 years were analyzed retrospectively. Results Among these cases multiple injury accounted for 68% , among those 568 cases were closed wound and 42 were open wound. About half of the cases were in shock condition at admission. In cases of trauma of abdomen or signs of acute abdomen, laparotomy might be considered and 536 cases were operated totally. Operation was performed in most cases of penetration of peritoneum. The danger caused by prolonged contamination due to gastrointestinal injury was more severe than those caused by explorative operation. Management of injuries of retrohepatic veins continued to be a difficult problem and hemostasis with packs might be a valuable technique for choice. Conclusion Early diagnosis and treatment is essential in cases of abdominal injury.
