中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
2期
41-42
,共2页
腹部方向盘伤%损伤控制性外科处理%腹腔引流%营养支持
腹部方嚮盤傷%損傷控製性外科處理%腹腔引流%營養支持
복부방향반상%손상공제성외과처리%복강인류%영양지지
Steering wheel injury in abdomen%The treatment of damage control surgery%Abdominal drainage%Nutritional support
目的 总结腹部方向盘伤的临床特点及诊治经验.方法 对56例腹部方向盘伤患者的临床资料进行回顾性分析.结果 56例中多发脏器损伤52例,其中易受损伤组织器官情况:十二指肠18例,胃、空肠、回肠和结肠16例,肝脏和胰腺11例,脾脏8例.创伤性腹膜后血肿11例.术前确诊36例,术中确诊16例,漏诊4例.受伤至手术时间:2～78 h,平均4 h.痊愈36例,转院或自动出院12例,死亡8例;术后严重并发症17例.结论 腹部方向盘伤多发伤常见,十二指肠和胰腺易受损伤,早期诊断、损伤控制性外科处理,有效腹腔引流和营养支持是提高救治效果的关键.
目的 總結腹部方嚮盤傷的臨床特點及診治經驗.方法 對56例腹部方嚮盤傷患者的臨床資料進行迴顧性分析.結果 56例中多髮髒器損傷52例,其中易受損傷組織器官情況:十二指腸18例,胃、空腸、迴腸和結腸16例,肝髒和胰腺11例,脾髒8例.創傷性腹膜後血腫11例.術前確診36例,術中確診16例,漏診4例.受傷至手術時間:2～78 h,平均4 h.痊愈36例,轉院或自動齣院12例,死亡8例;術後嚴重併髮癥17例.結論 腹部方嚮盤傷多髮傷常見,十二指腸和胰腺易受損傷,早期診斷、損傷控製性外科處理,有效腹腔引流和營養支持是提高救治效果的關鍵.
목적 총결복부방향반상적림상특점급진치경험.방법 대56례복부방향반상환자적림상자료진행회고성분석.결과 56례중다발장기손상52례,기중역수손상조직기관정황:십이지장18례,위、공장、회장화결장16례,간장화이선11례,비장8례.창상성복막후혈종11례.술전학진36례,술중학진16례,루진4례.수상지수술시간:2～78 h,평균4 h.전유36례,전원혹자동출원12례,사망8례;술후엄중병발증17례.결론 복부방향반상다발상상견,십이지장화이선역수손상,조기진단、손상공제성외과처리,유효복강인류화영양지지시제고구치효과적관건.
Objective To summarize clinical characteristic and experience of diagnosis and therapy of steering wheel injury in abdomen. Methods The clinical data of 56 patients with steering wheel injury in abdomen were reviewed retrospectively. Results There were 52 cases of multiple organ damage. These organs were vulnerable to injury,18 cases of duodenum, 16 cases of stomach, jejunum, ileum and colon, 11 cases of liver and pancreas respectively, 8 cases the spleen, 11 cases of traumatic retroperitoneal hem. Thirty -six cases were confirmed preoperative, 16 cases were diagnosed in operation and 4 cases were missed. The time of injury to operation was from 2 to 78 hours, an average of 4 hours.Thirty- six cases were cured, 12 cases were automatically discharged or transferred from hospital, 8 cases were death. Seventeen cases had serious postoperative complications. Conclusions Most steering wheel injures in abdomen were multiple injuries. Duodenum and pancreas were vulnerable to injury. Early diagnosis, the treatment of damage control surgery, abdominal drainage and effective nutritional support were the key to improve the treatment effect.
