摘要
目的:探讨腹部损伤的早期诊断和治疗。方法:回顾性分析我院收治的138例腹部损伤的受伤部位、损伤程度及诊断方法和治疗措施。结果:①其中135例(97.8%)进行了手术治疗,分别施行脏器修补或全部、部分切除;3例(2.2%)采取保守治疗。②治愈134(97.1%)例,死亡4(2.9%)例,2例(1.5%)死于感染性休克,2例(1.5%)死于术后多脏器功能衰竭。结论:认真仔细的全面检查,联合腹腔穿刺、B超、X线及CT对早期诊断的确诊率高。早期应注意抗休克治疗,及早手术,后期合理应用抗生素控制感染,预防多脏器功能衰竭。
Objective：To investigate the early diagnosis and treatment of abdominal trauma.Methods：The injuried region,level and organs,diagnosis,treatment of 138 cases with abdominal trauma were analyzed retrospectively.Results：①135 cases（97.8%） were used repairing operations or resectting part or whole orangs;other 3 cases（2.2%）were given conservative treatment②134 cases（97.1%） were cured and 4（2.9%）died,during of which 2 cases died of infectious shockand 2 died of postoperative multiple organ failure（MOF）.Conclusion：We should pay more carefully physical examination on the diagnosis and treatment.It is helpful to early diagnosis that to associate with abdominocentesis,X-ray,B-scanning and CT.But we must paymore attention to treatment of antishock.And exploratory must be done as early as possible.In later stage the usage of enough wide spectrum antibotic and preventing multiple system organ failure is very important.
出处
《中国医药导刊》
2012年第9期1505-1505,1507,共2页
Chinese Journal of Medicinal Guide
关键词
腹部损伤
诊断
治疗
Abdominal trauma； Diagnosis； Treatment
