论文部分内容阅读
我院收治210例腹部闭合性损伤,通过临床总结,提出诊断和治疗体会。临床资料:男192例,女18例。青壮年为绝大多数。210例中共发生237个脏器损伤。合并胸、颅及其他部位骨折者52例。死亡5例,死亡率为2.4％。手术治疗145例,死亡1例。讨论:一、非手术治疗病人的临床特征:未行手术而治愈者65例;其中单纯腹壁挫伤25例,单纯肾挫伤34例,腹膜后血肿6例。除肾挫伤有不同程度血尿外,均有不同程度的腹痛。但无一例同时出现压痛、反跳痛、肌紧张、肠鸣音减弱或消失。仅有其中一、二项者56例(86.1％)。上述症状、体征多在观察治疗24小时后逐渐好转或消失,未有逐渐加重者。
Our hospital admitted 210 cases of abdominal closed injury, through clinical summary, put forward the diagnosis and treatment experience. Clinical data: 192 males and 18 females. The vast majority of young adults. A total of 237 visceral injuries occurred in 210 cases. Combined chest, cranial and other parts of the fracture in 52 cases. 5 deaths, the mortality rate was 2.4%. Surgical treatment of 145 cases, 1 died. Discussion: First, the non-surgical treatment of patients with clinical features: no surgery and cured 65 cases; simple abdominal contusion in 25 cases, simple renal contusion in 34 cases, retroperitoneal hematoma in 6 cases. In addition to varying degrees of renal contusion with hematuria, have varying degrees of abdominal pain. But no case of tenderness, rebound tenderness, muscle tension, bowel sounds weakened or disappeared. Only one or two of 56 cases (86.1%). The symptoms, signs and more observation and treatment gradually improved or disappeared after 24 hours, there is no gradual increase.