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目的:探讨腹部闭合性损伤的诊治策略,提高腹部外伤的治疗水平。方法:对本院1996年9月至2004年5月收治的86例腹部闭合性损伤患者的临床资料做回顾性分析。结果:诊断性腹腔穿剌、CT和B超的阳性率分别为94.3%,86.4%,90.2%;83例手术治疗,术后8例死亡,3例保守治疗,痊愈出院。结论:诊断性腹腔穿剌、CT和B超是腹部闭合性损伤有效的诊断措施,2个以上脏器损伤多见。
Objective: To discuss the diagnosis and treatment strategies of abdominal closed injury and to improve the treatment of abdominal trauma. Methods: The clinical data of 86 patients with abdominal closed injury admitted to our hospital from September 1996 to May 2004 were analyzed retrospectively. Results: The positive rates of CT and B ultrasonography were 94.3%, 86.4% and 90.2% respectively. 83 cases were treated by surgery, 8 cases died and 3 cases were treated conservatively. All cases were cured and discharged. Conclusion: The diagnosis of abdominal paracentesis, CT and B ultrasound is an effective diagnostic measure of abdominal closed injury, more than two organs damage more common.