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目的：探讨以腹部伤为主的多发伤的诊断和治疗方法．方法：回顾性分析 １９９９年 １月～２０００年 １２月，收治的６２例以腹部伤为主的多发伤患者，对其诊断、治疗方法及结果进行总结评价．结果 诊断性腹穿、Ｂ超、ＣＴ的诊断阳性率各为９８．０％、８８．１％、８０．８％．腹部伤中肝、脾破裂占７４．２％，合并伤中颅脑及胸部损伤占５８.１％．全组均手术治疗．手术死亡 １３例（２０．９％）主要死亡原因为失血性休克、ＭＯＦ、ＡＲＤＳ．结论 早期诊断，迅速有效地手术治疗，严防并发症发生，是多发伤救治的主要措施．
Objective: To investigate the diagnosis and treatment of multiple trauma with abdominal injury. Methods: From January 1999 to December 2000, 62 cases of multiple traumatic injuries, mainly abdominal injuries, were retrospectively analyzed. The diagnosis, treatment and results were summarized and evaluated. Results The diagnostic positive rates of diagnostic abdominal paracentesis, B ultrasound and CT were 98.0%, 88.1% and 80.8% respectively. Abdominal injury in liver and spleen rupture accounted for 74.2%, combined injury in the brain and chest injury accounted for 58.1%. All patients were treated surgically. Thirteen patients (20.9%) died of hemorrhagic shock, MOF and ARDS. Conclusion Early diagnosis, rapid and effective surgical treatment, prevention of complications, is the main treatment of multiple trauma.