Analysis of closed abdominal injury in pregnant women

来源 :Chinese Journal of Traumatology | 被引量 : 0次 | 上传用户:honghui2009
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Objective: To explore the characteristics of closed abdominal injury in pregnancy women and its treatment.Methods: The clinical data of 37 pregnancy patients with closed abdominal injury treated in our hospital from June 1993 to June 2003 were collected and analyzed.Results: All the 37 patients were treated with operation. Among them 2 early pregnancy patients with intestinal rupture and 1 patient with retroperitoneal hematoma were treated under laparoscope; in other 34 pregnancy patients laparotomy was performed. Of the 34 patients 8 used cesarean section because premature separation of placenta and enlarged womb interrupted the management of intra-abdominal organ injury. In the 37 patients 33 ( 89.1%) were cured, 4 ( 10.8%) die, postoperative complication rate was 16.2% (6/37). Two patients ( 5.4%) suffered from abdominal cavity infection, 3 ( 8.1%) from pulmonary infection, and 1 ( 2.7%) had multi-organ failure.Conclusions: For pregnancy patients with closed abdominal injury, besides obsteric diseases intra-abdominal injury should be given much attention. Accurate diagnosis and timely treatment can gain the time to save the life of both mother and fetus. Objective: To explore the characteristics of closed abdominal injury in pregnancy women and its treatment. Methods: The clinical data of 37 pregnancy patients with closed abdominal injury treated in our hospital from June 1993 to June 2003 were collected and analyzed. Results: All the 37 Patients were treated with operation. Among the 2 early pregnancy patients with intestinal rupture and 1 patient with retroperitoneal hematoma were treated under laparoscope; Of the 34 patients 8 were cesarean section because premature separation of placenta and enlarged Two patients (5.4%) suffered from, 4 (10.8%) die, postoperative complication rate was 16.2% (6/37). womb interrupted the management of intra-abdominal organ injury. abdominal cavity infection, 3 (8.1%) from pulmonary infection, and 1 (2.7%) had multi-organ failure. Conclusions: For pregnancy patients with closed abdominal injury, beside Accurate diagnosis and timely treatment can gain the time to save the life of both mother and fetus.
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