国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
6期
664-666
,共3页
张杰雄%李崇虹%黄万仁%游伟星%王卫东%戎祯祥
張傑雄%李崇虹%黃萬仁%遊偉星%王衛東%戎禎祥
장걸웅%리숭홍%황만인%유위성%왕위동%융정상
闭合性损伤%伤情评估%全面检查%规范化救治
閉閤性損傷%傷情評估%全麵檢查%規範化救治
폐합성손상%상정평고%전면검사%규범화구치
Blunt injury%Injury assessmeng Comprehensive examination%Standardized treatment
目的 分析腹部闭合性损伤(BAI)的临床特点和临床诊治措施,规范BAI的救治方案,提高诊疗水平.方法 对69例BAI患者的临床资料和救治结果 进行回顾性分析.结果 69例BAI患者中,62例行急诊手术,7例保守治疗,抢救治愈64例,抢救成功率为92.8%,术前、术后死亡5例.结论 快速进行伤情评估,早期进行全面检查,拟定诊疗计划,及早抗休克治疗和手术,预防多脏器功能衰竭,进行规范化急诊救治,可明显提高BAI救治成功率.
目的 分析腹部閉閤性損傷(BAI)的臨床特點和臨床診治措施,規範BAI的救治方案,提高診療水平.方法 對69例BAI患者的臨床資料和救治結果 進行迴顧性分析.結果 69例BAI患者中,62例行急診手術,7例保守治療,搶救治愈64例,搶救成功率為92.8%,術前、術後死亡5例.結論 快速進行傷情評估,早期進行全麵檢查,擬定診療計劃,及早抗休剋治療和手術,預防多髒器功能衰竭,進行規範化急診救治,可明顯提高BAI救治成功率.
목적 분석복부폐합성손상(BAI)적림상특점화림상진치조시,규범BAI적구치방안,제고진료수평.방법 대69례BAI환자적림상자료화구치결과 진행회고성분석.결과 69례BAI환자중,62례행급진수술,7례보수치료,창구치유64례,창구성공솔위92.8%,술전、술후사망5례.결론 쾌속진행상정평고,조기진행전면검사,의정진료계화,급조항휴극치료화수술,예방다장기공능쇠갈,진행규범화급진구치,가명현제고BAI구치성공솔.
Objective To analyze the clinical features and the clinical diagnostic measurements of blunt abdominal injury in order to regulate the treatment of blunt abdominal injury and improve the diagnosis and treatment level. Methods The retrospective analysis was carried out to of clinical data and treatment results of the 69 patients with blunt abdominal injury.Results Among 69 patients with blunt abdominal injury, 62 routine emergency surgery, conservative treatment in 7 cases, rescue cure in 64 cases, 92.8% survival rate, before and after surgery and 5 died. Conclusion Quick assessment to the injury, early comprehensive examination conducting, developing treatment plans, early anti-shock therapy and surgery, prevention of multiple organ failure and the standardized emergency medical treatment can significantly improve the success rate of treatment of blunt abdominal injury.