中国处方药
中國處方藥
중국처방약
CHINA PRESCRIPTION DRUG
2015年
2期
7-8
,共2页
外伤性小肠破裂%早期诊断%手术治疗
外傷性小腸破裂%早期診斷%手術治療
외상성소장파렬%조기진단%수술치료
Traumatic rupture of small intestine%Early diagnosis%Surgery
目的：探讨外伤性小肠破裂的临床早期诊断和治疗手段。方法回顾性分析106例外伤导致的小肠破例患者，统计分析患者的临床资料、诊疗经过以及预后效果。结果全部106例患者中104例治愈，12例患者发生术后并发症，其中切口感染7例、肠瘘3例、不完全粘连性肠梗阻2例；2例患者由于合并其他脏器损伤失血性休克死亡。结论掌握外伤性小肠破裂后的早期症状和体征表现，通过必要的检查相互联合可提高诊断率，早期急诊手术和合理的手术方式、彻底的腹腔探查与冲洗、术后综合治疗可以减少并发症的发生。
目的：探討外傷性小腸破裂的臨床早期診斷和治療手段。方法迴顧性分析106例外傷導緻的小腸破例患者，統計分析患者的臨床資料、診療經過以及預後效果。結果全部106例患者中104例治愈，12例患者髮生術後併髮癥，其中切口感染7例、腸瘺3例、不完全粘連性腸梗阻2例；2例患者由于閤併其他髒器損傷失血性休剋死亡。結論掌握外傷性小腸破裂後的早期癥狀和體徵錶現，通過必要的檢查相互聯閤可提高診斷率，早期急診手術和閤理的手術方式、徹底的腹腔探查與遲洗、術後綜閤治療可以減少併髮癥的髮生。
목적：탐토외상성소장파렬적림상조기진단화치료수단。방법회고성분석106예외상도치적소장파례환자，통계분석환자적림상자료、진료경과이급예후효과。결과전부106례환자중104례치유，12례환자발생술후병발증，기중절구감염7례、장루3례、불완전점련성장경조2례；2례환자유우합병기타장기손상실혈성휴극사망。결론장악외상성소장파렬후적조기증상화체정표현，통과필요적검사상호연합가제고진단솔，조기급진수술화합리적수술방식、철저적복강탐사여충세、술후종합치료가이감소병발증적발생。
Objective To investigate the clinical early diagnosis and treatment of traumatic rupture of the small intestine.Methods 106 cases of patients with traumatic small intestine caused exception were analyzed retrospectively. The clinical data ,treatment process and prognosis of patients were statistical analyzed.Results 104 cases of all were cured and 12 cases appeared postoperative complications,in which the incision infection seven cases,intestinal fistula three cases,incomplete adhesion ileus two cases.Two patients combined with other organ damage due to hemorrhagic shock and death.Conclusion Grasping early signs and symptoms of performance after traumatic rupture of small intestine and combining the necessary checks can improve the diagnosis rate.Early surgical emergency surgery ,rational way,rinse thoroughly abdominal exploration,comprehensive treatment can reduce the incidence of postoperative complications.
