1983年7月至1988年4月,LevelⅠ创伤中心共收治钝器伤所致腹膜后血肿(RPH)233例,占同期钝器伤入院者2.9％、腹部钝器伤入院者13％。致伤原因主要是车祸。患者平均年龄33.5岁(14～86岁),男性占70％。38％患者入院时有休克,50％有长骨骨折,48％有胸部严重损伤,55％有骨盆骨折,34％有脑损伤,15％有脊柱骨折。入院时的创伤评分、Glasgow From July 1983 to April 1988, LevelⅠ trauma center received 233 cases of retroperitoneal hematoma (RPH) caused by blunt trauma, accounting for 2.9% of the hospitalized blunt trauma patients and 13% of those with blunt abdominal injuries. The main cause of injury is a car accident. The average age of patients 33.5 years (14 to 86 years), men 70%. Forty-eight percent of patients had shock at admission, 50% had a long bone fracture, 48% had a severe chest injury, 55% had a pelvic fracture, 34% had a brain injury, and 15% had a spinal fracture. Trauma score at admission, Glasgow