摘要
目的:提高儿童腹部闭合性损伤的诊断和治疗水平。方法:回顾性分析我院2001年1月至2006年6月41例儿童腹部闭合性损伤的诊治情况,总结经验和教训。结果:行剖腹探查手术39例,保守治疗2例,治愈36例,死亡5例。死亡5例中,肝破裂2例、脾破裂1例、十二指肠破裂1例、严重复合伤1例。结论:儿童腹部闭合性损伤应高度重视,实质脏器损伤导致的内出血是患儿死亡的最主要的原因,空腔脏器损伤的延误诊治是导致患儿死亡的另一重要原因,因此早期准确的诊断、积极的治疗、以及综合处理其他严重的合并伤、并发症是成功救治该类患儿的关键。
Objective： To explore and increase the level of the diagnosis and surgical treatment of closed abdominal injury in children. Method： The clinical data of 41 cases of closed abdominal injury in pediatric age in our hospital during January, 2001 to June, 2006 is analyzed retrospectively so as to learn from the experience. Result： Among the 41 cases, there were conservative therapy in 2 cases and explorative laparotomy in 39 cases. In 36 cases the patients recovered and in other 5 cases the patients were dead, among which rupture of the liver was observed in 2 cases, rupture of the spleen in 1 case, duodenal rupture in 1 case, and severe combined injury in 1 case. Condusion： Closed abdominal injury in pediatric age is suggested to draw more attention. The main cause of the patient＇ s death is the inner bleeding resulted from the injury of parenchyma organs. And the other frequent cause is delayed treatment of the injury of cavity organs. Thus the correct early diagnosis, active treatment, and the synthetic treatment of other severe combined injuries and complications are crucial to the recovery of the patients.
出处
《河北医学》
CAS
2007年第6期710-713,共4页
Hebei Medicine
关键词
闭合性
腹部外伤
儿童
外科治疗
Closed abdominal injuries
children
Surgical treatment
