摘要
目的探究腹部钝性外伤继发肠损伤的诊断延迟原因及给预后造成的影响。方法回顾性分析我院收治的腹部钝性外伤继发肠损伤患者73例,依据确诊时间,分为观察组36例和对照组37例,观察组患者在入院6h内接受治疗,对照组患者在入院6h后接受治疗,对比分析两组临床疗效及预后情况。结果观察组患者的住院时间、ICU监护时间和机械通气时间显著短于对照组,(P<0.05);观察组患者的术后并发症发生率为13.89%,显著低于对照组的45.95%,(P<0.05)。结论对于腹部钝性外伤继发肠损伤患者,实施早期诊断、早期治疗,可缩短机械通气时间,减少ICU监护天数与住院天数,降低术后并发症发生,效果显著。
Objective To discuss the delayed diagnosis of Bowel injuries following blunt abdominal trauma and its prog-nostic implications. Methods Seventy-three cases of patients with bowel injuries following blunt abdominal trauma in our hos-pital were collected for the retrospective analysis and divided into control group and experimental group according to the time of diagnosis, with experimental group 36 cases and control group 37 cases. The patients in the control group received treat-ment 6 h after admission, and the patients in the experimental group received treatment within 6 h. The intracranial pressure and clinical efficacy were compared between the two groups after treatment. Results The hospital stay？ the ICU monitoring time and the mechanical ventilation time of the experimental group were significantly shorter than those of the control group （P〈C〇 . 05）. The incidence of postoperative complications in the experimental group was 13. 89%, significantly lower than 45. 95% in the control group （P〈C0. 05）. Conclusion Early diagnosis and early treatment could reduce the time of mechanical ventilation, reduce the number of ICU days and days of hospitalization, and reduce the incidence of postoperative complica-tions in patients with bowel injuries following blunt abdominal trauma.
出处
《临床研究》
2018年第1期57-58,共2页
Clinical Research
关键词
腹部钝性外伤
诊断延迟
继发肠损伤
blunt abdominal trauma
delayed diagnosis
secondary intestinal injury
