论文部分内容阅读
目的 探讨腹部创伤诊断、急救、手术等临床问题。方法 总结本科 1995～ 2 0 0 3年住院经手术抢救的腹部创伤病例12 9例 ,对临床资料作回顾性分析。结果 12 9例病人获救康复 12 4例 ,占 96%,死亡 5例 ,占 4%,死亡原因 3例是肝脏严重破裂大出血 ,2例是腹内多脏器广泛损伤。结论 腹部创伤病人入院后首先建立输液途径 ,积极预防和纠正休克 ,尽快通过临床检查或辅助检查明确诊断 ,内脏损伤严重者果断手术探查处理。
Objective To investigate the clinical problems of abdominal trauma diagnosis, first aid and surgery. Methods A total of 129 cases of abdominal trauma admitted to hospital from 1995 to 2003 were summarized retrospectively. Results 12 9 cases were rescued in 124 cases, accounting for 96%, 5 died, accounting for 4%. The cause of death was severe hemorrhagic rupture of the liver in 3 cases and extensive injury in 2 cases. Conclusion Abdominal trauma patients first established after infusion of infusion, and to actively prevent and correct shock, as soon as possible by clinical examination or laboratory examination to confirm the diagnosis of severe visceral injury were decisive surgical exploration.