对病情相对稳定的伤员追求更精确的术前诊断和采用尽量少创的治疗方案，甚至非手术治疗是近年来腹部损伤诊治进展的两大特点。1诊断依靠受伤史和物理检查作出判断，仍是腹部损伤的基本诊断方法。1．1腹部X线平片虽然腹部X线平片的诊断价值有限，但当疑有胃及十二指肠破裂，特别 The relatively stable condition of the wounded in pursuit of more accurate preoperative diagnosis and the use of minimal invasive treatment programs, and even non-surgical treatment of abdominal injury in recent years, two major characteristics of diagnosis and treatment progress. A diagnosis depends on the history of injury and physical examination to make judgments, is still the basic diagnostic method of abdominal injury. 1.1 abdominal X-ray film Although the diagnostic value of plain X-ray film is limited, but when suspected gastric and duodenal rupture, especially