论文部分内容阅读
作者报道1991年12月至1992年4月该院用腹腔镜诊治创伤病人的资料。疑有腹部钝伤或穿透伤病人可做腹腔镜检查,但其血液动力学必须稳定,有血液动力学不稳定者应立即手术。检查在手术室气管内插管全麻下进行。用Verrses针注入CO_2,腹压不超过15mmHg。经脐周10mm部位套管孔置入零角腹腔镜,根据需要增加手术套管进口。结果34例创伤病人作腹腔镜检者中,15例为枪伤,13例刺伤,6例钝伤,平均年龄31岁(18～52岁),男性30例,女性4例。3例以往做过手术,全部病人的血液动力学稳定,不需输血。穿透伤病人的腹腔镜检平均需时20分钟(15～100分钟),多发性枪伤病人需要较长操作时间,以除外腹膜穿孔,4例胁腹损伤病人需游离部分结肠,以确定
The authors report data on laparoscopic diagnosis and treatment of traumatic patients from December 1991 to April 1992 in this hospital. Suspected abdominal blunt injury or penetrating injury patients can do laparoscopy, but the hemodynamics must be stable, hemodynamic instability should be immediate surgery. Check in the operating room endotracheal intubation under general anesthesia. Inject CO_2 with a Verrses needle and the abdominal pressure does not exceed 15 mmHg. The umbilical 10mm part of the casing hole into the zero-angle laparoscopic surgery, according to the need to increase the surgical casing imports. Results Of the 34 traumatic patients who underwent laparoscopy, 15 were gunshot wounds, 13 were stabbed, and 6 were blunt trauma. The mean age was 31 years (range 18-52 years). There were 30 males and 4 females. Three patients had undergone surgery in the past and all patients had hemodynamic stability without transfusion. Laparoscopy trauma patients take an average of 20 minutes (15 to 100 minutes), multiple gunshot wounds patients need a longer operating time to exclude peritoneal perforation, 4 cases of patients with threatened abdominal injury to part of the free colon to determine