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闭合性腹部创伤早期诊断与抢救成功率探讨 预览

Exploration on early diagnosis and successful rescue rate of blunt abdominal trauma
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摘要 目的探讨闭合性腹部创伤早期诊断的影响因素与抢救成功率。方法选择我院2011~2016年所收治的59例闭合性腹部创伤患者,对该组患者受伤早期的病史,临床表现,症状体征,以及相关辅助检查进行回顾性分析,阐述它们对早期诊断和抢救成功率的影响。结果在59例闭合性腹部创伤患者中,41例实施手术治疗,18例保守治疗,治疗抢救成功54例,占91.52%;死亡1例,占1.69%。结论从病史、早期体征、临床表现、辅助检查多方面进行总结,以期寻找到早期腹部闭合性创伤的最突出的、最具有共同性的特征,对实现该类伤者的早期准确诊断、避免误诊漏诊、提高抢救成功率具有一定的临床意义。 Objective To explore the influencing factors and successful rescue rate of early diagnosis of blunt abdominal trauma. Methods 59 patients with blunt abdominal trauma who were admitted and treated in our hospital from 2011 to 2016 were selected.Early medical history,clinical manifestations,symptoms and signs and related auxiliary examinations of patients in this group were retrospectively analyzed to explain their effects on early diagnosis and successful rescue rate. Results Among the 59 patients with blunt abdominal trauma,41 patients underwent surgical treatment and 18 received conservative treatment.54 cases were successfully rescued,accounting for 91.52%.One patient died,accounting for 1.69%. Conclusion Medical history,early signs,clinical manifestations and auxiliary examinations are summarized to the most prominent and common features of early blunt abdominal trauma,which has certain clinical significance for realizing early accurate diagnosis of such injuries,avoiding misdiagnosis and missed diagnosis and improving the successful rescue rate.
作者 勾成明 GOU Chengming(Department of Emergency,Kuiyong Pecple's Hospital, Dapeng New District,Shenzhen 518119,China)
出处 《中国医药科学》 2019年第11期191-194,共4页 China medicine and pharmacy
关键词 闭合性腹部创伤 共同特征 早期诊断 抢救成功率 Blunt abdominal trauma Common features Early diagnosis Successful rescue rate
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