基层医院腹部闭合性损伤中小肠破裂40例诊治体会

摘要

目的：探讨基层医院腹部闭合性损伤合并有小肠破裂的诊断及处理方法。方法：总结分析笔者所在医院2008年1月-2012年8月收治的腹部闭合伤中合并有小肠破裂40例的临床资料。结果：本组患者40例均手术,其中36例治愈,2例死亡,2例术后转入上级医院随访治愈。结论：密切观察腹痛变化,早期诊断、及时手术是减少并发症发生和救治成功的关键。%Objective:To investigate the primary hospital of blunt abdominal injury merger diagnosis and treatment of intestinal rupture.Method:Analyzed in our hospital from January 2008 to August 2012 were treated closed abdominal injuries associated with rupture of small intestine clinical data of 40 cases.Result:40 cases in this group of patients are surgery,of which 36 cases were cured,2 deaths,2 cases were transferred to a higher level hospital follow-up cure.Conclusion:Close observation of abdominal pain changes,early diagnosis and timely surgery is to reduce the complications and the key to successful treatment.