腹部闭合性损伤89例诊治分析

Analysis of diagnosis and treatment of blunt abdominal trauma:89 cases report

目的 提高腹部闭合性损伤的诊断和手术治疗水平。方法 分析 12年来交通事故所致腹部闭合性损伤 89例 ,提出腹内脏器损伤发生较多的有脾、肝、肠管等器官。结果 存活 81例 ,死亡 8例 ,总病死率9%。结论 腹部闭合性损伤中 ,早期诊断是抢救成功的关键。腹腔镜的临床应用 ,提高了腹部闭合性损伤的诊疗水平。

Objective To improve the diagno stic and operational skills in blunt abdominal trauma due to traffic accidents. Methods Eighty nine cases of blunt abdominal trauma in our hos pital for the past 12 years were analyzed,and the data indicated that injuries h append more frequently on abdominal organs,such as spleen,liver and intestines. Results There were 81 survivals and 8 deaths.The mortality was 9%.Conclusion For patients with blunt abdominal trauma,early di agnosis is the key to a success rescue.The application of peritoneoscopy will im prove the diagnostic and therapeutic skills in blunt abdominal trauma.