摘要
目的探讨腹部创伤的诊断、治疗以及如何降低病死率。方法对155例腹部创伤病因、伤情、诊治及死亡原因进行分析。结果手术治疗109例，非手术治疗46例；痊愈111例，死亡18例。死亡者均为3处以上多脏器损伤，其中死于多器官功能障碍综合征（MODS）8例，ISS评分61～75分间的5例均死亡。结论腹部创伤常为多器官损伤，腹穿是诊断腹部损伤的简便、可靠的手段，其阳性率可达80％以上。腹部创伤的围手术期正确处理是提高救治成功的关键之一。手术探查既要简捷又不能遗漏受损脏器，尤其要注意膈肌、十二指肠及胰腺损伤、多器官损伤等；同时也要注意同一器官的多处损伤。
Objective To study the diagnosis, treatment and how to reduce the death rate of abdominal trauma.Methods Analyzing the causes, serious, diagnosis, treatment and death of 155 cases. Results 109 cases by operation, 46non- operation; 111 cases survived, 18 died. All death were multiple organs injuried up to 3 points, and 8 died fromMODS, 5 had 61 ～ 75 scores by AIS - ISS. Conclusion Abdominal trauma often has multiple organs injuried. Abdominocentesis is the simply useful method for diagnosis, the positive ratio is over 80 percent. How to deal with the perioperative period around operation is one of the crtical factors for survive. The exploratory should be simple and not dismiss more injuried organs, especially the diaphragm, duodenum, pencreas and one organ with more injuries.
出处
《中国实用外科杂志》
CSCD
北大核心
1999年第7期412-413,共2页
Chinese Journal of Practical Surgery
