CAJ | 학술논문

目的探讨闭合性腹部损伤的诊断和治疗经验.方法回顾性分析1991年至2006年收治的183例闭合性腹部外伤患者的病史、伤情、诊断、治疗及死因,进行分析、总结.结果腹腔穿刺是确诊的主要检查手段,部分患者选择性地做了腹部B超、CT和X线检查.非手术治疗18例,165例分别施行脏器修补或全部、部分切除,治愈175例,死亡8例.结论早期全面检查,联合腹腔穿刺、B超、X线及CT可提高早期诊断率,简单术式是腹部闭合伤治疗的关键.
목적 탐토폐합성복부손상적진단화치료경험.방법 회고성분석1991년지2006년수치적183례폐합성복부외상환자적병사、상정、진단、치료급사인,진행분석、총결.결과 복강천자시학진적주요검사수단,부분환자선택성지주료복부B초、CT화X선검사.비수술치료18례,165례분별시행장기수보혹전부、부분절제,치유175례,사망8례.결론 조기전면검사,연합복강천자、B초、X선급CT가제고조기진단솔,간단술식시복부폐합상치료적관건.
Objective To investigate the experiences in diagnosing and treating closed abdominal injury.Methods The histories,injured conditions,diagnosis,treatments and causes of death of 183 patients with closed abdomirtal injury from 1991 to 2006 were retrospectively summarized and analyzed. Results All the patients accepted corresponding auxiliary examinations,and abdominal paracentesis is the main method of examination for the clear diagnosis,and part of the patients were selectively examined with abdominal B ultrasonography,CT and X-ray. 18 patients were not treated with surgery, and the other 165 patients were treated with organic restoration,or total or partial organic resection. 175 patients were cured, and the other 8 patients died. Conclusion Early complete examination combined with abdominal paracentesis, abdominal B ultrasonography ,CT and X-ray can improve the early diagnostic rate, and it can be accurately identified there is operative indications or not, so that operative opportunities can be grasped. Effective operative manners are the key points for treating closed abdominal injury.