CAJ | 학술논문

目的：探讨108例外伤性小肠破裂患者的临床治疗情况。方法回顾性分析我院108例外伤性小肠破裂患者的临床资料，按手术时间分为＜2 h治疗组79例和＞12 h治疗组29例，均进行手术治疗，比较两组患者的治愈率、病死率和并发症发生率。结果＜12 h治疗组患者，治愈72例，占91.1%；病死7例，占8.9%，并发症发生率为3.8%；＞12 h治疗组患者，治愈15例，占51.7%，病死14例，占48.3%，并发症发生率为34.5%，两组比较差异有统计学意义（P＜0.05）。结论在外伤性小肠破裂的临床治疗中，早期诊断、合理治疗可提高治疗效果，降低并发症发生率及病死率。
목적：탐토108예외상성소장파렬환자적림상치료정황。방법회고성분석아원108예외상성소장파렬환자적림상자료，안수술시간분위＜2 h치료조79례화＞12 h치료조29례，균진행수술치료，비교량조환자적치유솔、병사솔화병발증발생솔。결과＜12 h치료조환자，치유72례，점91.1%；병사7례，점8.9%，병발증발생솔위3.8%；＞12 h치료조환자，치유15례，점51.7%，병사14례，점48.3%，병발증발생솔위34.5%，량조비교차이유통계학의의（P＜0.05）。결론재외상성소장파렬적림상치료중，조기진단、합리치료가제고치료효과，강저병발증발생솔급병사솔。
Objective To explore the clinical treatment of 108 cases of traumatic rupture of smal intestine.Methods A review of 108 cases of traumatic rupture of smal intestine in patients with clinical data analysis,according to the operation time is divided into<2 h treatment group of 79 cases and 29 cases of H treated group>12,underwent operation treatment,compared two groups of cure rate,complication rate and mortality rate.Results<12 h patients in the treatment group,72 cases were cured, accounting for 91.1%;7 cases died,accounted for 8.9%,the complication rate was 3.8%;H>12 of patients in the treatment group,15 cases were cured,14 cases died,accounted for 51.7%, ccounted for 48.3%,the complication rate was 34.5%,there was significant difference between two groups(P<0.05). Conclusion In the clinical treatment of traumatic smal intestinal rupture,early diagnosis,reasonable treatment can improve the effect,reduce the incidence of complications and mortality rate.