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本文研究的目的是总结腹部刺伤的治疗经验,提出某些新的观点.1981年12月至1986年2月,有651例前腹壁刺伤的病人在南非约翰内斯堡的Baragwanath医院住院治疗.对有急腹症表现(压痛、肌卫、反跳痛、肠鸣音消失)的病人均行急症手术;对无腹膜刺激症状或有轻度腹膜刺激症状(轻度局部压痛)的病人行非手术治疗.所有非手术治疗的病人,均建立静脉通路,插入鼻胃管和腹部X线检查.如怀疑有腹腔内出血,则行腹腔穿刺;如有网膜和小肠脱出伤口,将小肠回纳腹腔,结扎和切除大网膜后,再将网膜复位.
The purpose of this study is to summarize the experience of treatment of abdominal puncture and to come up with some new ideas. From December 1981 to February 1986, 651 patients with anterior abdominal puncture were hospitalized at Baragwanath Hospital in Johannesburg, South Africa. Patients with acute abdomen manifestations (tenderness, muscular back, rebound tenderness, bowel sounds disappear) underwent emergency surgery; patients without peritoneal irritation or with mild peritoneal irritation (mild local tenderness) underwent non-surgical treatment All non-surgical patients were established intravenous access, nasogastric tube and abdominal X-ray examination .If suspected intraperitoneal hemorrhage, the line of abdominal puncture; if retinal and intestinal prolapse wounds, the small intestine back into the abdominal cavity, ligation And after removal of the omentum, then the omentum reset.