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创伤性腹腔内出血的救治体会

TREATMENT OF TRAUMATIC ABDOMINAL BLEEDING

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【作者】 吴礼武; 杨明威; 符夏东; 陈海涛; 刘德伟;

【Author】 WU Liwu, YANG Mingwei, FU Xiadong, et alXintang Hospital of Zengcheng, Guangdong, 511340, PRC

【机构】 增城市新塘医院; 增城市新塘医院 广东增城511340; 广东增城511340;

【摘要】 目的探讨提高创伤性腹腔内出血救治效果的诊断和治疗方法。方法分析和总结253例创伤性腹腔内出血患者的临床资料。结果253例入院后确诊时间:10min~20h,平均50min;非手术17例,手术236例;单个脏器损伤152例,2个或多个脏器损伤84例;治愈239例,死亡14例,其中术前死亡8例,术中或术后死亡6例。结论腹穿和B超等检查是诊断腹腔内出血的简单、方便、有效的方法,早期诊断、及时手术是提高救治率的关键措施。

【Abstract】 Objective To explore the effects of traumatic abdominal bleeding where diagnosis and treatment. Methods Analysis and review 1999~2006 years 253 cases of traumatic abdominal bleeding in patients with the clinical data. Results 253 cases diagnosed after hospitalization time 10 min~20 h,the average 50 min; 17 cases of non-surgical and surgical 236 cases; 152 cases of single organ injuries, 84 cases two or more organ damage; cured 239 cases, 14 patients died. which killed eight cases before, during or after the death of six cases. Conclusion Abdominal ultrasound and other tests to wear diagnosis of intra-abdominal hemorrhage is a simple, convenient and effective method for early diagnosis. Surgical treatment is a key to improving the timely measures.

【关键词】 创伤; 腹腔内出血/诊断; 腹腔内出血/治疗;
【Key words】 Trauma; Hemoperitoneum; diagnosis; Treatment;
  • 【分类号】R641;R656
  • 【被引频次】2
  • 【下载频次】32
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