CAJ | 학술논문

目的探讨腹部闭合性损伤的诊断以及手术治疗的临床意义.方法回顾性分析2003～2008年北京中医药大学第三附属医院收治的35例腹部闭合性损伤的临床资料.结果 35例共治愈34例,治愈率为97.1%,死亡1例,病死率为2.9%.1例肝破裂合并颅内血肿,术后死于多系统器官功能衰竭. 结论 (1)准确并及时诊断,并进行手术探查,做相应的处理是腹部闭合性损伤治疗成功的关键;(2)在腹部闭合性损伤的治疗中,一定要正确解决好全身与局部,出血、感染与器官功能保存等关系.
목적 탐토복부폐합성손상적진단이급수술치료적림상의의.방법 회고성분석2003～2008년북경중의약대학제삼부속의원수치적35례복부폐합성손상적림상자료.결과 35례공치유34례,치유솔위97.1%,사망1례,병사솔위2.9%.1례간파렬합병로내혈종,술후사우다계통기관공능쇠갈. 결론 (1)준학병급시진단,병진행수술탐사,주상응적처리시복부폐합성손상치료성공적관건;(2)재복부폐합성손상적치료중,일정요정학해결호전신여국부,출혈、감염여기관공능보존등관계.
Objective To detect the clinical significance of diagnosis and treatment on closed abdominal injury patients. Methods We retrospectively analysed the clinical data of 35 patients,who were diagnosed to closed abdominal injury and treated in our hospital from 2003 to 2008. Results Thirty-four cases were cured greatly in the 35 patients. The cure rate was 97.1%. One case, who was diagnosed as liver rupture and intracranial haematoma, was dead because of multiple organ dysfunction syndrome. The mortality was 2. 9%. Conclusions It is the key to succesful treatment of closed abdominal injury to make proper diagno-sis, give timely surgical treatment and choose the right way for operation; We must correctly handle the prob-lems of bleeding, organization infection and repairment.