30年来,腹部穿透性创伤的处理一直是一个反复探讨的问题。处理关键在于确定是否需要作剖腹探查,以减少不必要的探腹,降低并发症和死亡率。作者分析了1974～1978年Denver总医院300例单纯性腹部戳伤病人(腹部刺伤合并其他损伤者除外)。患者除有明显腹膜刺激症状或有不能解释的失血体征作剖腹探查外(大网膜从创口凸出也视为探腹指征), Over the past 30 years, the treatment of penetrating trauma in the abdomen has been a topic of repeated inquiry. The key is to determine if a laparotomy is needed to reduce unnecessary exposure to the abdomen and reduce complications and mortality. The authors analyzed 300 patients with simple abdominal puncture (except abdominal puncture and other injuries) from 1974 to 1978 in Denver General Hospital. In addition to patients with significant symptoms of peritoneal irritation or unexplained blood loss signs for laparotomy (omentum protruding from the wound is also considered a sign of the abdomen)