CAJ | 학술논문

目的分析并评价外伤性腹膜后血肿的临床诊断与治疗措施.方法回顾性分析我院自2009年3月至2012年3月期间收治的70例腹膜后血肿病人的临床资料.结果本研究中的12例(17.1%)病人采用非手术治疗均获得治愈,其余58例(82.9%)采用手术治疗,10例出现并发症,其中4例为肠间脓肿,胰瘘与肠瘘各有2例,5例为应激性溃疡出血,通过引流、止血、制酸、抗感染以及给予营养支持等疗法后治愈出院,1例病人腹膜后静脉丛广泛出血经医治无效,最终休克死亡.结论在发生腹膜外伤时,需加强对存在腹膜后血肿的重视程度,重视辅助检查结果,及时在早期作出明确诊断,尽量免除不必要的割腹检查,根据不同类型的血肿以及合并症采取相应的治疗措施.
목적분석병평개외상성복막후혈종적림상진단여치료조시.방법회고성분석아원자2009년3월지2012년3월기간수치적70례복막후혈종병인적림상자료.결과본연구중적12례(17.1%)병인채용비수술치료균획득치유,기여58례(82.9%)채용수술치료,10례출현병발증,기중4례위장간농종,이루여장루각유2례,5례위응격성궤양출혈,통과인류、지혈、제산、항감염이급급여영양지지등요법후치유출원,1례병인복막후정맥총엄범출혈경의치무효,최종휴극사망.결론재발생복막외상시,수가강대존재복막후혈종적중시정도,중시보조검사결과,급시재조기작출명학진단,진량면제불필요적할복검사,근거불동류형적혈종이급합병증채취상응적치료조시.
Objective analysis and evaluation of traumatic retroperitoneal hematoma, clinical diagnosis and treatment measures. Methods:A retrospective analysis of clinical data of patients admitted to the hospital from March 2009to March 2012 70 cases of retroperitoneal hematoma. Results:this study 12 cases (17.1%) patients with non-surgical treatment were cured, the remaining 58 cases (82.9%) treated by surgery, 10 cases of complications, including four cases of mesenteric abscess, pancreatic fistula, and intestinal each of two cases of fistula, cured after five cases of stress ulcer bleeding, drainage, hemostasis, sulfuric acid, anti-infective and nutritional support therapy, patients retroperitoneal venous plexus extensive bleeding through the healing is invalid, the final shock died. Conclusion:peritoneal trauma, the need to strengthen the presence of retroperitoneal hematoma, the degree of attention, attention to the secondary inspection results in a timely manner to make a definite diagnosis at an early stage, as far as possible to avoid unnecessary cutting abdominal examination, according to the different types of hematoma and complications take appropriate treatment measures.