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我院外科15年内收治114例闭合性腹部损伤,现报告如下。临床资料男101例,女13例。年龄5～76岁。单一脏器伤61例(53.5%),有两处脏器损伤29例(25.4%)多发伤伴有颅脑伤、胸外伤、肾挫伤及四肢伤24例(21.1%)。死亡12例(10.5%)。致伤原因:高空坠落45例,车祸22例,直接暴力17例,挤压伤21例,锐器刺伤9例。损伤腔器:脾破裂39例,肝破裂24例,腹膜后血肿7例,肠系膜及肠系膜血管撕裂伤5例,小肠穿孔26例,12指肠破裂4例,结肠破裂4例,胃破裂3例,直肠会阴贯穿伤2例。
I hospital surgical treatment of 114 cases of closed abdominal injury within 15 years, are as follows. Clinical data of 101 males and 13 females. Age 5 to 76 years old. There were 61 cases (53.5%) with single organ injury, 29 cases (25.4%) with multiple organ injuries and 24 cases (21.1%) with traumatic brain injury, thoracic injury, renal contusion and limb injury. 12 died (10.5%). Causes of injury: 45 cases of altitude falls, 22 cases of car accidents, direct violence in 17 cases, crush injury in 21 cases, 9 cases of stab wounds. Damage chamber: spleen rupture in 39 cases, liver rupture in 24 cases, retroperitoneal hematoma in 7 cases, mesenteric and mesenteric vascular laceration in 5 cases, small intestinal perforation in 26 cases, 12 cases of 4 cases of intestinal rupture, 4 cases of rupture of the stomach, rupture of the stomach 3 Cases, rectal perineal injury in 2 cases.