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目的通过23例肠管火器伤的治疗分析,提高肠管火器伤诊治水平,减少漏诊及并发症。方法总结2001～2006年23例肠管火器伤的诊治资料并进行分析。结果本组病例合并伤18例,1期修补13例,1期肠切除吻合16例,2期手术5例,死亡1例,漏诊2例,发生并发症12例。结论忽视受伤史和腹部检查不仔细是误诊的主要原因,早期诊治不当是后期并发症多的主要因素。
Objective To improve the diagnosis and treatment of intestinal firearm injuries through the analysis of 23 cases of intestine firearm injuries and reduce the missed diagnosis and complications. Methods The diagnosis and treatment of 23 cases of intestinal firearm injuries from 2001 to 2006 were summarized and analyzed. Results In this group, 18 cases were complicated with wounds, 13 cases were repaired in stage 1, 16 cases were treated with intestinal resection and anastomosis in one stage, 5 cases were treated in stage 2, 1 died, 2 missed diagnosis and 12 complications occurred. Conclusion Ignoring the history of injury and abdomen examination are not the main reason of misdiagnosis. The improper diagnosis and treatment are the main factors of late complications.