56 cases of traumatic rupture of diagnosis and treatment of small intestine.docVIP

 PAGE \* MERGEFORMAT 8 56 cases of traumatic rupture of diagnosis and treatment of small intestine [Keywords:] treatment Our hospital is located in the mining and transportation hub region, a higher incidence of trauma in the abdominal injury, small bowel up to 15% to 25%. Now the diagnosis and treatment are summarized below. 1 Clinical data 1.1 General Information We have from January 2000 to January 2008 were treated 56 cases of traumatic rupture of small intestine, in which 48 male and 8 females. Aged 7 to 69 years, mean 36 years. Shortest time after injury treatment 1 hour up to 49 hours. 1.2 Injury and accidents mainly due to mine accidents, which impact injury in 29 cases, accounting for 51.8%, crush injury in 12 cases, 21.4%, falling injuries in 8 cases, 14.2%, stab wounds in 4 cases, 7.1% kicked in 3 cases, 5.3%, 50 cases of blunt trauma, accounting for 89.2%, 6 cases of open injury, accounting for 10.7%. 1.3 31 cases of ileal injury site, accounting for 55.3%, which completely transected bowel with mesenteric hematoma in 5 cases, partial rupture of intestine alone, 20 cases more than two and two ruptured in 6 cases, jejunum in 22 cases, 39.8%, which completely transected bowel 2 cases of partial rupture of intestine alone, 17 cases more than two and two rupture in 3 cases. duodenum in 3 cases, 5.4%, are irregularly shaped cracks, which break down the Department of 2 cases and 1 case of rupture of the level of the Ministry of . 1.4 All clinical cases were immediately after injury, abdominal pain, vomiting 30 cases, accounting for 53.6%. Whole abdominal tenderness, rebound tenderness and muscle tension in 47 cases, accounting for 83.9%. Bowel sounds decreased in 19 cases, accounting for 33.9% , in which there were 5 cases of intestinal paralysis, accounting for 8.9% of all cases. abdomen open with bowel and omentum prolapse in 4 patients, 7.1%. temperature above 37.5 in 48 cases, accounting for 85.7%, of which up to more than 38.5