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目的：总结以腹部损伤为主急诊患者的救治经验，提高诊断和治疗水平。方法收集四川友谊医院和中航工业三六三医院2013年1月~2015年7月收治的以腹部损伤为主急诊患者156例，回顾性分析患者的损伤部位、急救方法及合并症。结果156例患者腹部损伤发生率较高的是脾损伤、肝损伤、肾脏损伤、小肠损伤，患者大都伴有其他部位的损伤，有的患者还出现消化道出血、肺部感染等合并症。临床急救方法按照腹腔损伤不同的脏器而决定。救治后治愈109例(69.9％)，致残31例(19.9％)，死亡16例(10.2％)。结论快速急救与准确诊断、合理选择损伤脏器的手术处理顺序、合理采用损伤控制、建立多发伤的急诊一体化救治体系对提高多发伤的救治成功率起重要作用。“,”Objective To summarize the experience in the treatment of abdominal trauma-based emergency patients and improve diagnosis and treatment.Methods Abdominal trauma-based emergency patients from January 2013 to July 2015 in AVIC 363 hospital and Sichuan Friendship hospital nearly half a year al 156 cases,a retrospective analysis of patients with the type of injury,treatment methods and complications and so on. Results 156 patients with ruptured spleen,liver rupture,rupture of small intestine,the highest incidence of kidney injury,and most patients were accompanied by other parts of the combined injury,some patients with pulmonary infection,gastrointestinal bleeding and so on.Clinical treatment is mainly determined on the basis of surgical abdominal cavity organ damage.After treatment cured 109 cases (69.9%),31 cases of disability (19.9%),16 cases of death(10.2%).Conclusion Rapid Aid and accurate diagnosis,a reasonable choice of surgical treatment sequence organ damage,reasonable use damage control,establishment of multi-trauma emergency treatment system to improve the integration of multiple injuries treatment success rate plays an important role.