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目的本文将对外科急腹症患者进行腹腔镜手术临床治疗分析,以确定腹腔镜手术治疗外科急腹症的临床效果。方法对78例急腹症患者均进行气管插管全身麻醉。在进行腹腔镜手术治疗之前应对所有患者给予常规补液以及抗感染等术前准备工作,并对患者进行留置胃管、导尿管。根据患者实际情况进行腹腔镜、剖宫手术或保守治疗。结果 78例外科急腹症患者中,经确诊为原发性腹膜炎、急性阑尾炎、急性胆囊炎、急性肠梗阻、急性胰腺炎、外伤性肠破裂、外伤性脾破裂、外伤性肝破裂、美克尔憩室穿孔、十二指肠溃疡穿孔以及肝癌破裂出血。经治疗后均恢复顺利,无术后并发症和死亡。结论腹腔镜手术治疗外科急腹症具有方便、快捷、痛苦较小、创伤较小以及术后恢复较快等优点,具有非常显著的临床应用性。
Objective This article will analyze the clinical treatment of patients with surgical acute abdomen laparoscopic surgery to determine the clinical effect of laparoscopic surgical treatment of acute abdomen. Methods 78 patients with acute abdomen were tracheal intubation general anesthesia. Before the laparoscopic surgery should be given to all patients with conventional rehydration and anti-infection and other preoperative preparation, and patients with indwelling gastric tube, urinary catheter. According to the actual situation of patients with laparoscopic cesarean surgery or conservative treatment. Results Among the 78 patients with acute abdomen, the patients were diagnosed as primary peritonitis, acute appendicitis, acute cholecystitis, acute intestinal obstruction, acute pancreatitis, traumatic intestinal rupture, traumatic rupture, traumatic liver rupture, Perforation of diverticulum, duodenal ulcer perforation, and ruptured liver cancer. After treatment were recovered smoothly, no postoperative complications and death. Conclusions Laparoscopic surgical treatment of acute abdomen has the advantages of convenience, quickness, less pain, less trauma and faster recovery after surgery, which has a very significant clinical application.