腹腔镜检查对于腹部脏器病变的诊断具有安全可靠、并发症少、操作简单、可信性强以及可活检等优点,在创伤性急腹诊中应用更可明确诊断,避免不必要的手术,但并未被普外科医生广泛接受。腹部外伤,特别是同时伴有头部及胸部外伤时,腹腔内出血或肠管破裂的症状及体征往往出现较晚, Laparoscopy for the diagnosis of abdominal organ disease is safe and reliable, fewer complications, simple operation, strong credibility and biopsy and other advantages, the application of traumatic acute abdomen diagnosis can be more clear, to avoid unnecessary surgery, but Not widely accepted by general surgeons. Abdominal trauma, especially accompanied by head and chest trauma, intra-abdominal bleeding or intestinal rupture symptoms and signs often appear later,