CAJ | 학술논문

目的：分析研究腹部闭合性损伤小肠破裂的临床诊断及手术治疗效果。方法随机选取2013年1月～2015年1月间本院收治的60例腹部闭合性损伤小肠破裂患者作为研究对象，所有患者均进行手术治疗。结果60例患者均存在典型腹痛以及典型腹膜炎表现，其均进行了腹腔穿刺，58例呈阳性（96.7%）；所有患者均进行B超检查，56例呈阳性（93.3%）；所有患者均进行X线检测，27例呈阳性（45.0%）。本组患者均顺利完成手术，未有患者死亡，术后9例患者出现并发症（15.0%）。结论 B超以及腹腔穿刺可作为腹部闭合性损伤小肠破裂的诊断依据，其准确率较高。但相较于腹部穿刺而言，B超属无创检查，不会为患者带来痛苦。手术治疗具有较为理想的诊疗效果，但要注意术后抗生素的正确使用。
목적：분석연구복부폐합성손상소장파렬적림상진단급수술치료효과。방법수궤선취2013년1월～2015년1월간본원수치적60례복부폐합성손상소장파렬환자작위연구대상，소유환자균진행수술치료。결과60례환자균존재전형복통이급전형복막염표현，기균진행료복강천자，58례정양성（96.7%）；소유환자균진행B초검사，56례정양성（93.3%）；소유환자균진행X선검측，27례정양성（45.0%）。본조환자균순리완성수술，미유환자사망，술후9례환자출현병발증（15.0%）。결론 B초이급복강천자가작위복부폐합성손상소장파렬적진단의거，기준학솔교고。단상교우복부천자이언，B초속무창검사，불회위환자대래통고。수술치료구유교위이상적진료효과，단요주의술후항생소적정학사용。
Objective To analyze the clinical diagnosis and operation treatment effect on small intestine rupture of closed abdominal injuries Methods selected 60 cases with small intestine rupture of closed abdominal injuries from January 2013 to January 2015 in our hospital as the object randomly, all patients underwent operation treatment. Results 60 cases of patients have typical abdominal pain and peritonitis, which were performed by abdominal puncture, 58 cases were positive (96.7%), all patients were B ultrasound examination, 56 cases were positive (93.3%), all the patients were given X-ray detection, 27 cases were positive(45%). This group of patients were completed the operation successfully, no patients death, 9 cases of postoperative complications (15%). Conclusion the diagnosis base on the B ultrasound and abdominal puncture can be use as abdominal closed injury of small intestinal rupture, has higher accuracy rate. But compared with abdominal puncture, B ultrasound is non-invasive, no pain for patients, so it is worthy of clinical application. With ideal treatment effect of operation treatment, but should pay attention to the proper use of postoperative antibiotics.