中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
7期
19-20
,共2页
腹部创伤%漏诊%二次手术%治疗分析
腹部創傷%漏診%二次手術%治療分析
복부창상%루진%이차수술%치료분석
Abdominal trauma%Missed diagnosis%Second operation%Treatment analysis
目的：探讨腹部创伤行二次手术患者的原因及引起漏诊的相关因素。方法对18例腹部创伤二次手术患者的临床资料进行回顾性分析,明确治疗和再次手术情况,并分析总结再手术原因。结果18例二次手术患者死亡2例,致死率11.11%。共进行二次手术20例次,平均手术时间(12.3±1.6)d,生存患者平均住院时间(31.2±5.2)d。18例二次手术患者首次手术漏诊比例较高,占61.11%,较并发症和手术处置失误两个因素差异有统计学意义(χ2=5.600,7.480, P<0.05)。结论由于腹部创伤的特殊性,常伴发多处损伤,因而无论术前、术中均应全面仔细的进行检查和探查,尤其应关注深部组织部位,以减少漏诊,提高一次手术成功率。
目的：探討腹部創傷行二次手術患者的原因及引起漏診的相關因素。方法對18例腹部創傷二次手術患者的臨床資料進行迴顧性分析,明確治療和再次手術情況,併分析總結再手術原因。結果18例二次手術患者死亡2例,緻死率11.11%。共進行二次手術20例次,平均手術時間(12.3±1.6)d,生存患者平均住院時間(31.2±5.2)d。18例二次手術患者首次手術漏診比例較高,佔61.11%,較併髮癥和手術處置失誤兩箇因素差異有統計學意義(χ2=5.600,7.480, P<0.05)。結論由于腹部創傷的特殊性,常伴髮多處損傷,因而無論術前、術中均應全麵仔細的進行檢查和探查,尤其應關註深部組織部位,以減少漏診,提高一次手術成功率。
목적：탐토복부창상행이차수술환자적원인급인기루진적상관인소。방법대18례복부창상이차수술환자적림상자료진행회고성분석,명학치료화재차수술정황,병분석총결재수술원인。결과18례이차수술환자사망2례,치사솔11.11%。공진행이차수술20례차,평균수술시간(12.3±1.6)d,생존환자평균주원시간(31.2±5.2)d。18례이차수술환자수차수술루진비례교고,점61.11%,교병발증화수술처치실오량개인소차이유통계학의의(χ2=5.600,7.480, P<0.05)。결론유우복부창상적특수성,상반발다처손상,인이무론술전、술중균응전면자세적진행검사화탐사,우기응관주심부조직부위,이감소루진,제고일차수술성공솔。
Objective To investigate the cause and related factors of second operation and missed diagnosis. Methods A retrospective analysis was made on the clinical data of 18 patients who undergoing second operation for abdominal trauma. Their treatment and operation condition was clarified, and the causes for second operation were analyzed. Results Among the 18 case of second operation, there were 2 death cases with the fatality rate as 11.11%. The second operation was totally performed for 20 cases, with the average operation time as (12.3±1.6) d and average hospital stays as (31.2±5.2) d. The operation missed diagnosis rate was 61.11%in the 18 cases, and the difference from complications and operation mistakes had statistical significance (χ2=5.600, 7.480, P<0.05). Conclusion Abdominal trauma has the specificity of multiple injuries, therefore it is necessary for detailed examination and inspection before and during operation, especially for deep tissue, in order to reduce missed diagnosis and to increase success rate of first operation.
