摘要
目的:探讨腹腔镜在老年人腹部闭合性损伤中的临床应用价值。方法:回顾性分析36例应用腹腔镜诊治的老年人腹部闭合性损伤患者的临床资料。结果:36例病人经腹腔镜探查后全部确诊(100％),治愈34例(94.4％),死亡2例(5.6％)。出现并发症6例(16.7％),其中8例(22.2％)中转开腹手术。结论:老年人腹部损伤患者对创伤耐受性差,临床表现不典型,易发生误诊或漏诊。腹腔镜的应用不仅可避免误诊或漏诊,而且可在微创条件下作相应的处理,值得临床推广应用。
Objective:To investigate the clinical appliance of laparoscopy in the elder with closed abdominal trauma. Methods: Clinical data of 36 elderly patients with closed abdominal trauma be treated with laparoscopy were analyzed retrospectively. Results: All the 36 cases (100%) were diagnosed and 34(94.4%) were cured, 2(5.6%) were died, 6(16.7%) took place complications, 8(22.2%) had to be operated. Conclusions: The elder patients with closed abdominal trauma are less tolerant to trauma, which easily leads to misdiagnosis or maldiagnosis. The clinical appliance of laparoscopy is not only avoid misdiagnosis or maldagnosis, but also can be cured in little trauma. It is well worth spreading appliance in clinical diagnose and treatment.
出处
《岭南急诊医学杂志》
2004年第3期191-192,共2页
Lingnan Journal of Emergency Medicine
