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目的探讨腹部闭合性损伤的外科急救方法。方法 2003年1月-2009年1月收治200例腹部闭合性损伤患者,根据病史、体征、辅助检查等做出诊断后,在确保重要器官血流供应的基础上进行外科手术治疗。结果治愈187例,治愈率93.5%;死亡13例,9例患者死于多脏器受损引起的出血性休克,2例脾破裂患者因失血过多术中死亡,2例患者因合并颅脑损伤形成脑疝死亡。结论对于腹部闭合性损伤患者,应快速准确地根据病史、体征、辅助检查等做出诊断,进行积极外科急救治疗。有效控制出血,保证重要器官血液供应,是外科急救能否成功的关键。
Objective To investigate the surgical emergency method of abdominal closed injury. Methods From January 2003 to January 2009, 200 cases of abdominal closed injury were treated. Surgical treatment was performed on the basis of ensuring the blood supply to vital organs after diagnosis according to history, signs and auxiliary examinations. Results 187 cases were cured, the cure rate was 93.5%. Thirteen died, 9 died of hemorrhagic shock due to multiple organ damage, 2 died of bleeding due to splenic rupture, 2 were complicated by brain injury Injury hernia death. Conclusions Patients with closed abdominal injury should be diagnosed quickly and accurately according to their medical history, signs, auxiliary examinations and so on, and active surgical emergency treatment should be performed. Effective control of bleeding to ensure blood supply to vital organs is the key to the success of surgical emergency procedures.