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目的 :提高腹部钝性损伤的诊治水平 ,降低其病死率。方法 :回顾性总结我院近几年来因腹部钝性损伤所致的肠系膜损伤 2 6例 ,对其临床表现及治疗进行了分析。结果 :在腹部钝性损伤中 ,可造成肠系膜部分缺失、肠系膜撕裂伴肠系膜血管断裂、肠系膜撕裂和肠系膜散在的多发性点状出血 ,从而引起腹腔内出血而需手术治疗。结论 :肠系膜损伤在腹部钝性损伤中并不少见 ,有多种类型 ,主要临床表现为腹腔内出血 ,手术治疗时既要止血 ,也要注意肠管的生机 ,更要重视肠系膜损伤的存在 ,避免漏诊
Objective: To improve the diagnosis and treatment of blunt abdominal injury and reduce its mortality. Methods: A retrospective review of 26 cases of mesenteric injury caused by blunt abdominal injury in our hospital in recent years, the clinical manifestations and treatment were analyzed. Results: blunt abdominal injury can cause mesenteric partial missing, mesenteric tear with mesenteric vascular rupture, mesenteric tears and mesenteric scattered multiple punctate bleeding, causing intraperitoneal bleeding and surgery. Conclusions: Mesenteric injury is not uncommon in blunt trauma of abdomen. There are many types. The main clinical manifestations are intraperitoneal hemorrhage. It is necessary to stop the bleeding when surgery is performed. Attention should also be paid to the existence of the intestine. More attention should be paid to the existence of mesenteric injury to avoid misdiagnosis