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闭合性腹部创伤是常见的急腹症。我科自1986年以来共收治闭合性腹部损伤93例,分析如下。 本组男78例,女5例,年龄11～68岁,平均27.3岁,其中空回肠破裂76例,十二肠破裂2例,结肠破裂7例,肝破裂5例,脾破裂3例。至就诊时间1～48小时。本组全部手术。脾切3例,肠部分切除5例,其余均行修补术。其中11例切口感染,5例合并肺炎。2例合并肾衰,经人工肾透析治愈。 讨论:闭合性腹部损伤较开放性损伤,较难确诊。由于多数裂口小,肠内容物填塞,大网膜包裹及附近脏器粘连。损伤脏器出血及肠内容物外溢少。临床上腹膜刺激征及膈下游离气体多不典型,往往使其诊断
Closed abdominal trauma is a common acute abdomen. Our department since 1986 received a total of 93 cases of closed abdominal injury, analysis is as follows. The group of 78 males and 5 females, aged 11 to 68 years, mean 27.3 years, including 76 cases of ileum rupture, duodenum rupture in 2 cases, colon rupture in 7 cases, liver rupture in 5 cases, splenic rupture in 3 cases. To the treatment time of 1 to 48 hours. This group of all operations. Splenectomy in 3 cases, partial resection in 5 cases, the rest were repaired. Incision infection in 11 cases, 5 cases of pneumonia. 2 cases with renal failure, cured by artificial kidney dialysis. Discussion: Closed abdominal injury than open injury, more difficult to diagnose. As the majority of small incision, intestinal stuffing, omentum parcels and adhesions in nearby organs. Damage to organs and intestinal contents spill less. Clinically, peritoneal irritation and subdiaphragmatic free atherosclerosis more often at diagnosis