剖腹探查术在腹部闭合性损伤中的应用很广泛,且损伤部位及程度术前难以估计,正确掌握手术适应症及把握良好的手术时机显得尤其重要。探查过早可给患者带来不必要的创伤和痛苦,过晚又可能贻误病情,错过最佳时机。1　临床资料1 1　一般情况:1989年4月～2 0 0 3年2月我科共收治疑 Laparotomy in the abdomen closed injury is widely used, and the location and extent of injury preoperative estimates difficult to accurately grasp the indications for surgery and grasp the timing of a good surgery is particularly important. Too early exploration can bring unnecessary trauma and pain to patients, too late may adversely affect their condition, missed the best time. 1 Clinical data 1 1 General situation: April 1989 ~ February 2003 our department received a total of suspected