外伤性小肠破裂26例诊治分析

Clinical Analysis of Diagnosis and Treatment of Traumatic Intestinal Rapture (26 Cases Report)

目的 回顾性分析外伤性小肠破裂导致的漏诊和延误诊断现象 ,以利引起临床医生对外伤性小肠破裂手术的重视。方法 2 6例中 ,行单纯肠修补 11例 ;行肠部切除吻合术 15例 ,其中 ,13例行腹腔引流术 ,同时行肝修补术 2例 ,脾切除 2例 ,小肠系膜修补术 3例。结果 2 6例中 ,2次手术 2例 ,术后感染 4例 ,肠粘连 3例 ,不全梗阻 1例 ,均保守治愈。结论 明确诊断 ,减少误诊、漏诊 ,是提高外伤性小肠破裂治愈的关键。

Objective To analyze the misdiagnosis of traumatic intestinal rapture retrospectively so that to cause the attention of doctor for this disease. Methods There were 11 cases of simple intestinal repair and 15 cases of intestinal resection and anastomosis in 26 cases of intestinal rapture. There were 13 cases of abdominal drainage, 2 cases of liver repair, 2 cases of splenic resection and 3 cases of mesentery repair. Results All cases in this group were recovered after discharged. There were 2 cases received twice operations and other 8 cases of infection, adhesion and incomplete obstruction were received conservative treatment. Conclusion The clearly diagnosis without misdiagnosis should be the key point to improve the traumatic intestinal rapture curative effect.