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腹部闭合性损伤的诊治体会

李波 张富民

中国伤残医学Issue(3):15-17,3.
中国伤残医学Issue(3):15-17,3.DOI:10.13214/j.cnki.cjotadm.2015.03.010

腹部闭合性损伤的诊治体会

Diagnosis and Treat ment Realization of Closed Abdominal Trauma

李波 1张富民1

作者信息

  • 1. 江油市骨科医院,四川江油 621715
  • 折叠

摘要

Abstract

Objective province 621715) :To summarize the experience of diagnosis and treatment of closed abdominal trauma , in order to improve the diagnosisand treatment of abdominal surgeries at primary hospitals .Methods:Retrospectively analyzed 228 cases of closed abdominal traumapatients from 1993 to 2012.Result: Five cases of non -surgical cure (three cases of kidney rupture, two cases of splenic rupture),and 223 cases of surgical cure.212 cases were cured; the cure rate was 93%.16 deaths; the mortality rate was 7%.The death causeswere mostly related to severe multiple trauma , severe infections, sepsis, and multiple organ failure.Conclusion:The closed abdominaltraumatic conditions were complex and the patients 'conditions were critical.The keys to improving the cure rate and reducing mortality in -clude the early, accurate and comprehensive diagnosis, the early anti -shock and timely surgical treatment, the right choise of surgicalprocedure,the peritoneal wash and effective drainage , and the comprehensive postoperative treatment.

关键词

腹部/闭合性损伤/诊断/治疗

Key words

Abdomen/Closed trauma/Diagnosis/Treatment

分类

医药卫生

引用本文复制引用

李波,张富民..腹部闭合性损伤的诊治体会[J].中国伤残医学,2015,(3):15-17,3.

中国伤残医学

1673-6567

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