Objective To study the diagnosis and treatment of abdominal stabbing. Methods The clinical data of 158 cases(from Jan. 2008 to Apr. 2011) of abdominal stabbing were analyzed retrospectively and a summary to its diagnosis and treatment was made. Results 157 cases were cured) and there was one death. Of 113 cases of abdominal penetrating injuries,86 received regular laparotomy, 13 laparoscopic exploratory surgery, and 14 conservative treatment after debridement(2 cases of peritonitis were converted to laparotomy). Conclusion Laparotomy is important for diagnosis and treatment of intra-abdominal injury. Shock, bulging of abdominal viscera or omentum, signs of peritonitis, and positive diagnostic paracentesis were indications for laparotomy. Careful exploration in abdominal surgery and avoidance of misdiagnosis and missed governance are the key to the diagnosis and treatment of abdominal stab wound.%目的 探讨腹部刀刺伤的诊断及治疗.方法 回顾性分析2008年1月至2011年4月收治的158例腹部刀刺伤伤员的临床资料,对其诊断及治疗方式进行总结.结果 治愈157例,死亡1例.其中,腹壁穿透伤113例,行剖腹探查术86例,行腹腔镜下探查术13例,14例小创口先行清创后保守治疗,期间出现腹膜炎表现立即中转开腹2例.结论 腹部刀刺伤应迅速地做出正确诊断,剖腹探查是腹内损伤确诊和治疗的重要方法.休克、腹腔脏器或大网膜外脱、腹膜炎体征、诊断性腹腔穿刺阳性均是剖腹探查指征.术中仔细探查腹腔脏器,避免漏诊、漏治,是腹部刀刺伤的诊治关键.
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