摘要
目的:探讨闭合性腹部损伤致小肠破裂的早期诊断和治疗对策。方法:对我院1998年1月至2012年10月间收治的92例闭合性腹部损伤所致小肠破裂病人的临床资料进行回顾性分析。结果 :受伤至手术间隔时间≤8 h(A组)65例,治愈63例(96.9%),术后并发症发生率为7.7%(5例,其中2例为死亡病例);受伤至手术间隔时间>8 h(B组)27例,治愈27例(100.0%),无一例死亡,并发症发生率为33.3%(9例)。经统计学分析,两组的并发症发生率具有统计学差异(P<0.05)。除术后住院时间外,A组的手术时间、术中出血量、术后排气时间和术后下床活动时间等指标均优于B组,差异具有统计学意义(P<0.05)。结论:早期诊断和及时手术有利于闭合性腹部损伤致小肠破裂的治疗。
Objective To study the early diagnosis and management of blunt small intestinal injuries. Methods Ninety-two cases with blunt small intestinal trauma in our hospital from Jan 1998 to Oct 2012 were retrospectively analyzed. Results The patients were divided into 2 groups according to the duration between accident and operation. There were 65 cases in group A（duration ≤8 h）with the cure rate of 96.9% （63 cases）, and the morbidity of 7.7%（5 cases,including 2 dead cases）. There were 27 cases in group B （duration 〉8 h）with the morbidity of 33.3%（9 cases）but without mortality. There was significant difference of the morbidity between two groups （P〈0.05）. The longer operation time,less operative blood loss, both earlier passing flatus and earlier ambulation was present in group A when compared with that in group B （P〈0.05）, except for hospital stay. Conclusions Early diagnosis and timely surgical treatment is beneficial for the cure of small intestinal trauma by blunt abdominal injury.
出处
《外科理论与实践》
2013年第4期331-334,共4页
Journal of Surgery Concepts & Practice
关键词
闭合性腹部损伤
小肠破裂
早期诊断
治疗对策
Blunt abdominal injury
Small intestinal trauma
Early diagnosis
Treatment strategy
