60例腹部闭合性损伤合并颅脑损伤诊治体会

【摘要】 目的:提高合并颅脑伤的闭合性腹部损伤早期诊断率。方法:回顾总结60例闭合性腹部损伤合并颅脑伤患者入院时休克、腹部症状、体征表现、诊断性腹穿及相关物理检查。结果:提高早期诊断率要加强对多发性损伤的认知,把握合并颅脑伤的闭合性腹部损伤特点,密切观察病情变化,及时应用辅助检查。结论:早期明确诊断并及时手术是减少并发症、降低死亡率的关键。更多还原

【Abstract】 Objectve:To improve the early diagnosis rate of abdominal closed trauma with craniocerebral trauma.Methods:the clinical data of 30 cases of abdominal closed trauma with craniocerebral trauma in this hospital were analyzed retro-spectivcly.Based on the shock,abdominal symptom,physical sign and positive result of diagnostic abdominocentesis and relative physical examination.the patients with abdominal closed trauma and craniocembral trauma on admission was diagnosed accurate-ly.Results:In order to improve the early diagnosis rate of this kind of combmed injury,the relative symptom.sign and character-istic of multiple injuries,such as abdominal closed trauma with craniocerebral trauma,should be identified immediately.At thesame time,the careful obscrvadon of patient3 condition and the early application of auxiliary examination is valuable for the diag—nosis of this disease.Collusion:Early diagnosis and operation is important to avoid secondary brain injury and to reduce themortality rate.更多还原