虽然现代外科技术,复苏、麻醉及监护措施有很大进步,腹腔内脏器严重损伤的死亡率仍然很高,因此在较短的时间内弄清伤情,制定恰当的治疗方案是很重要的。一、腹腔内脏器损伤的诊断问题:在询问详细的受伤史,作必要的体格检查后,首先要确定病人是否需要紧急手术,而不是要马上弄清楚腹内某脏器损伤的详细情况。腹腔内大量出血,腹膜炎当然是有明确的手术指征,可是有时下肢和骨盆骨折,腹壁挫伤也会出现和腹膜刺激征类似的体征,应加以区别。许多研究证实诊断腹腔内出血最敏感的方法是腹腔灌洗、腹腔穿刺后插入塑料导管,注 Although modern surgical techniques, recovery, anesthesia and custody measures have been greatly improved, the mortality rate of severe abdominal organ damage remains high, so in a relatively short period of time to clarify the injury, the development of appropriate treatment programs is very important. First, the diagnosis of intra-abdominal organ damage: ask a detailed history of injury, for the necessary physical examination, we must first determine whether the patient needs emergency surgery, rather than to immediately find out the details of an organ injury within the abdomen. Massive intraperitoneal bleeding, peritonitis, of course, is a clear indication of surgery, but sometimes lower extremities and pelvic fractures, abdominal wall contusion and peritoneal irritation will appear similar signs, should be distinguished. Many studies confirm that the most sensitive way to diagnose intraperitoneal hemorrhage is peritoneal lavage, plastic catheters after abdominal puncture,