不同损伤机理形成的腹膜后血肿的处理是不同的。在钝性创伤后,有些外侧位肾用和骨盆区腹膜后血肿不需手术,术中发现则勿予切开;对不伴有盆腔和门脉区血肿的中线、十三指肠旁外方或结肠周围外侧的血肿者,如能控制近端血管,可予切开;无明显活动性出血的肝后区血肿不需切开。在穿透性创伤后,大多数腹膜后血肿仍然是开放的,例外的有某些结肠周围外侧的血肿以及经CT仔细分类的弧立性外侧位肾周血肿,无明显活动性出血的肝后区血肿的处理与钝性创伤引起者相同。 The treatment of retroperitoneal hematomas formed by different mechanisms of injury is different. In the blunt trauma, some of the lateral kidney and pelvic area retroperitoneal hematoma without surgery, the operation was found not to be cut; not associated with pelvic and portal hematoma in the midline, outside the thirteen Or outside the colon around the hematoma who, if the control of proximal blood vessels, can be cut; no significant hematoma of the posterior hematoma hemorrhage without incision. After percutaneous trauma, most retroperitoneal hematomas are still open, with the exception of some of the peritumoral hematomas surrounding the colon and extracranial perirenal hematoma circumcised by CT, with no active bleeding District hematoma treatment and blunt trauma caused by the same.