【摘要】 目的探讨腹部为主的多发性损伤的诊治策略，提高腹部外伤的治疗水平。方法回顾性地总结分析89例腹部为主的多发性损伤的诊断方法和治疗结果。结果诊断性腹腔穿刺、CT和B超的阳性率分别为98．7％、84．2％、92．3％；82例手术，术后12例死亡，7例保守治愈出院。死亡原因主要是脑干伤、严重的出血性休克。随着损伤器官增加、病人住院时间延长，并发症发生率和病死率明显升高。结论仔细体格检查、诊断性腹腔穿刺、CT和B超是腹部外伤有效的诊断措施；损伤器官数越多，尤其合并颅脑损伤者，预后不佳。更多还原

【Abstract】 Objedive Discussion of diagnostic steps and management of abdominal injury combined with multiple injury. Methods We retrogradely analysed diagnostic steps and treatment results of 89 patients of abdominal injury. Results Positive rate of abdominal puncture, CT, B type ultrasonography was 98. 7 %, 84. 2 %, 92. 3 % respectively. 82/89patients were treated by surgical operation and 12 patients died, 7 others treated nonsurgically. Major cause of death werecerebral injury and seriously bleeding shock. With the number of injured organs increasing, time in hospital was prolongedmore, complications and mortality increased significantly. Conclusion Carefully physical examination, diagnostic abdominal puncture, CT, B type ultrasonography were effective steps for diagnosis of abdominal injury. Prognosis was worsewith injured organs increasing, especially cerebral injury.更多还原