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我院收治腹部创伤50例,保守治疗5例,手术治疗45例,死亡2例,现将诊治体会介绍如下。一、临床资料:本组50例均为男性,年龄最小13岁,最大56岁。其创伤的种类:本组按内脏损伤的种类统计为56例次:脾破裂12例,肾损伤7例,胆总管断裂1例,肝破裂7例,肠系膜裂伤4例,胰腺损伤1例,小肠破裂11例,膀胱破裂2例,下腔静脉裂伤1例,直肠破裂6例,胃破裂1例,腹膜后血肿1例,小肠挫伤1例,十二指肠破裂1例。合并有:骨盆骨折7例,肋骨骨折3例,四肢骨折2例,尿道损伤6例。
50 cases of abdominal trauma admitted to our hospital, conservative treatment in 5 cases, 45 cases of surgical treatment, 2 cases of death, diagnosis and treatment are now described below. First, the clinical data: The group of 50 patients were men, the youngest 13 years old, maximum 56 years old. The types of trauma: The group according to the type of visceral injury statistics 56 cases: 12 cases of splenic rupture, renal injury in 7 cases, 1 case of common bile duct rupture, hepatic rupture in 7 cases, mesentery laceration in 4 cases, 1 case of pancreatic injury, 11 cases of small intestine rupture, 2 cases of rupture of bladder, 1 case of rupture of inferior vena cava, 6 cases of rectal rupture, 1 case of gastric rupture, 1 case of retroperitoneal hematoma, 1 case of small intestine contusion and 1 case of duodenal rupture. Combined with: pelvic fracture in 7 cases, rib fracture in 3 cases, limb fracture in 2 cases, urethral injury in 6 cases.