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一、腹部闭合伤的早期诊断 腹部闭合伤的早期诊断,尤其占腹部创伤较多数的闭合伤,较开放伤困难。因闭合伤多由钝性暴力引起,有鲜明的“时相性”特点,常需连续密切观察伤情变化才能作出判断。诊断的要点:(1)是否有腹内脏器伤;(2)可能是何种脏器伤;(3)应用何种治疗措施。 闭合伤中有时可见单纯腹壁损伤,其特点是腹痛、腹部触痛和肌紧张,仅局限于受伤部位,随时间推移症状渐缓解。
First, the early diagnosis of closed abdominal wounds Early diagnosis of closed abdominal wounds, in particular, accounts for the greater number of abdominal trauma wound closure, open wounds more difficult. Due to the closure of more than caused by blunt violence, there is a clear “time phase” characteristics, often need continuous close observation of changes in the injury can make a judgment. Diagnostic points: (1) whether there is intra-abdominal organ injury; (2) what kind of organ injury may be; (3) the application of what kind of treatment. Closure of injury can sometimes be seen in simple abdominal wall injury, which is characterized by abdominal pain, abdominal tenderness and muscle tension, is limited to the injured site, symptoms gradually relieve over time.