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目的 :探讨重症闭合性腹外伤的最佳救治措施。方法 :对 5 2例重症闭合性腹外伤的致伤原因、损伤情况、治疗方法 ,术后并发症及死亡率进行统计分析。结果 :治愈 46例 ,死亡 6例 ,死亡率 11.5 %。主要死亡原因为多脏器功能衰竭 (MODS) ,不可逆性休克 ,急性呼吸窘迫综合症 (ARDS)。结论 :快速有效的现场抢救 ,积极补液抗休克 ,腹内脏器损伤早期诊断 ,正确有序的手术探查 ,术后并发症的早期防治可提高治成功率
Objective: To explore the best treatment of severe closed abdominal trauma. Methods: The cause, injury, treatment, postoperative complications and mortality of 52 cases of severe closed abdominal trauma were analyzed statistically. Results: 46 cases were cured, 6 died, the mortality rate was 11.5%. The main causes of death were multiple organ failure (MODS), irreversible shock, and acute respiratory distress syndrome (ARDS). Conclusion: Fast and effective site rescue, positive rehydration anti-shock, early diagnosis of abdominal organ injury, correct and orderly surgical exploration, early postoperative complications can improve the treatment success rate