120 cases of traumatic rupture of Diagnosis and Treatment of small intestine.docVIP

 PAGE \* MERGEFORMAT 13 120 cases of traumatic rupture of Diagnosis and Treatment of small intestine Keywords: traumatic rupture of small intestine Our hospital from January 1997 to December 2006 were treated 120 cases of traumatic rupture of small intestine, are reported as follows. A clinical data 1.1 General Information 120 patients, the male 102 cases, female 18 cases; aged 5 to 67 years old, 20 to 50 years of age the highest incidence rates, a total of 94 cases. Injury to admission time: 30min ~ 6d. Length of stay: 10 ~ 136d. Injuries reasons: 12 cases of falling injury, traffic accidents 65 cases, 19 cases of blunt injury, sharp injury in 11 cases, impact injury in 3 cases, crush injury in 2 cases, four cases of blast injury and other injuries in 4 cases. 1.2 organ injuries 87 cases of rupture of a small intestine, 2 in 22 cases, two more than 11 cases, 41 cases complicated by other organ damage. Of which: 16 cases of splenic rupture, hepatic rupture in 4 cases, stomach rupture in 1 case, pancreatic contusion in 2 cases, renal contusion, 6 cases of bladder rupture and pelvic fracture in 1 case, traumatic brain injury in 7 cases, spine, rib fractures in 4 cases. 15 cases of open injury, 105 cases of blunt trauma. Patients Jieyou abdominal pain, with 82 cases of abdominal distention, nausea, vomiting, 40 cases, the typical 104 cases peritonitis, body temperature higher than 38.5 ℃ 26 cases, blood pressure, lower than the 90/60mmHg 39 Li. 74 cases of peritoneal dialysis and found 46 cases of subphrenic free gas (46/74), 88 cases of abdominal wear positive 81 cases, accounting for 92.0%. B-type ultrasonic examination of 96 cases, 64 cases positive (64/96). 1.3 Treatment and outcome This group of 116 patients in the continuous epidural anesthesia or general anesthesia surgery, 3 patients with severe traumatic brain injury, 1 case of hemorrhagic shock without surgery. Simple repair 96 cases of intest