中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
18期
39-41
,共3页
腹部创伤%手术%治疗
腹部創傷%手術%治療
복부창상%수술%치료
Abdominal trauma%Surgery%Treatment
目的 提高对腹部创伤的早期诊断能力及手术治疗水平.方法 回顾性分析近年来新疆生产建设兵团农四师医院收治的258例腹部外伤患者的临床资料,对其临床诊疗过程进行分析和总结.结果 本组258例患者中保守治疗65例,手术治疗193例；痊愈255例,死亡3例,治愈率为98.9％.死亡3例中1例死于严重的颅脑外伤,1例死于失血性休克,1例死于多器官功能衰竭.术后并发症:切口感染8例,尿路感染2例,肺部感染6例,肠漏1例,腹腔积液10例,胰瘘1例,均采取相应的治疗措施或行2次手术,治愈出院.结论 诊治腹部创伤伤时,需要早期及时正确判断,避免遗漏多脏器伤,可提高诊治水平.
目的 提高對腹部創傷的早期診斷能力及手術治療水平.方法 迴顧性分析近年來新疆生產建設兵糰農四師醫院收治的258例腹部外傷患者的臨床資料,對其臨床診療過程進行分析和總結.結果 本組258例患者中保守治療65例,手術治療193例；痊愈255例,死亡3例,治愈率為98.9％.死亡3例中1例死于嚴重的顱腦外傷,1例死于失血性休剋,1例死于多器官功能衰竭.術後併髮癥:切口感染8例,尿路感染2例,肺部感染6例,腸漏1例,腹腔積液10例,胰瘺1例,均採取相應的治療措施或行2次手術,治愈齣院.結論 診治腹部創傷傷時,需要早期及時正確判斷,避免遺漏多髒器傷,可提高診治水平.
목적 제고대복부창상적조기진단능력급수술치료수평.방법 회고성분석근년래신강생산건설병단농사사의원수치적258례복부외상환자적림상자료,대기림상진료과정진행분석화총결.결과 본조258례환자중보수치료65례,수술치료193례；전유255례,사망3례,치유솔위98.9％.사망3례중1례사우엄중적로뇌외상,1례사우실혈성휴극,1례사우다기관공능쇠갈.술후병발증:절구감염8례,뇨로감염2례,폐부감염6례,장루1례,복강적액10례,이루1례,균채취상응적치료조시혹행2차수술,치유출원.결론 진치복부창상상시,수요조기급시정학판단,피면유루다장기상,가제고진치수평.
Objective To improve the ability of early diagnosis and surgical treatment of severe abdominal trauma.Methods The clinical data of 258 cases of abdominal trauma were retrospectively analyzed,and the clinical diagnosis and treatment process were analyzed and summarized.Results Sixty-five cases received conservative treatment in 258 cases,193 cases received surgical treatment.Two hundred and fifty-five cases recovered,3 cases died,and the cure rate was 98.9％.One case died of severe traumatic brain injury,1 case died of hemorrhagic shock,1 case died of multiple organ failure.Postoperative complications including 8 cases of incisional infection,2 cases of urinary tract infection,6cases of pulmonary infection,1 case of intestinal leakage,10 cases of ascites,1 case pancreatic fistula,appropriate treatment measures or line operations were given,and all were recovered.Conclusions Diagnosis and treatment of abdominal trauma injuries need early and timely and correct judgment,and avoid missing multiple organ injury,and can improve the diagnosis and treatment levels.
