摘要
目的进一步提高腹部创伤的诊治水平,降低救治失败率,为临床提供腹部创伤救治的措施和方法.方法回顾性总结分析1998年至2003年收治的126例腹部创伤救治的临床资料.结果126例中,男101例,女25例,年龄最小2岁,最大78岁,多为18～35岁.手术治疗89例,非手术治疗37例.痊愈90例,死亡15例,占11.9%,其中多器官功能衰竭障碍综合症(MODS)7例,失血性休克5例,感染性休克2例,循环衰竭1例.死亡者均为3处以上多脏器损伤,ISS评分61～75分之间的4例均死亡.结论腹部创伤的围手术期的正确处理是提高救治成功的关键,可供临床参考采用.
Objective To improve the level of diagnosis and treatment of the abdominal tratnnas and provide the effective methods for clinical treatment of abdominal traumas. Methods Clinical data of 126 patients with abdominal traumas admitted by our hospital from 1998 to 2003 were retrospectively analyzed. Results A total of 89 cases underwent operation, while 37 non-operative treatment. Ninety cases survived and 15 died. All dead cases had multiorgan injuries up to 3, seven cases owing to multiorgan dysfunction failure, 5 hemorrhagic shock, 2 septic shock, and 1 circulatory failure, including all 4 cases with AIS-ISS score of 61 to 75. Conclusion Careful physical examination, diagnostic abdominal puncture, CT,and B-type uhrasonography were effective steps in diagnosis of abdominal injuries. Proper treatment in the perioperative period is one of the critical factors for survival of patients.
出处
《局解手术学杂志》
2005年第4期233-234,共2页
Journal of Regional Anatomy and Operative Surgery
