摘要
目的 探讨腹膜后血肿的诊断及治疗方法。方法 回顾分析我院 1995年 6月～ 2 0 0 1年 6月收治的 5 6例腹膜后血肿病例的诊断与治疗。本组 5 6例中 ,行十二指肠修补术 3例 ,十二指肠切除、肠吻合术 1例 ,胰体尾切除术 4例 ,胰近端结扎及远端胰空肠Roux y吻合 1例 ,血肿切开引流术 17例 ;肾切除 2例 ,肾修补术 1例 ,髂外静脉修补术 1例 ,双侧髂内动脉结扎术 2例。结果 本组治愈 5 2例 (92 % ) ,死亡 4例(8% ) ,主要死亡原因为失血性休克及严重合并伤。结论 腹部外伤时 ,应高度警惕腹膜后血肿的存在 ,并早期纠正休克 ,结合辅助检查 ,明确诊断 ,避免不必要的剖腹探查 ,并强调按照不同部位的血肿给予不同的处理方法。
Objective To investigate the diagnosis and treatment of retroperitoneal hematoma.?Methods The clinical data of 56 patients with retroperitoneal hematoma treated in our hospital from June 1995 to June 2001 were reviewed retrospectively,In the group,3 patients underwent duodenum repairment,1 patients duodenum resection and anastomosis,4 patient resectin of body and tail of pancreas,1 ligation of proximal pancreatic duct and distal pancteatojejunum Roux en Y anastomosis,17 patients incision and drainage of the hematoma,2 patients resection of kidney,1 kindey repair,1 patients suture of the external iliac vein and 2 patients ligation of bilateral internal iliac arteries.?Results Fifty two patients were cured(92%),and 4 patients died(8%). The major causes of death were hemarrhagic shock and severe complicated injury.?Conclusion For abdominal injury,one should pay much attention to retroperitoneal hematoma to avoid unnecessary laparotomy; Proper measures should be taken for hematomas located differently.
出处
《创伤外科杂志》
2003年第1期14-16,共3页
Journal of Traumatic Surgery
关键词
腹膜后血肿
诊断
治疗
腹部创伤
retroperitoneal hematoma
diagnosis
treatment
