Diagnosis and treatment of 52 cases of rupture of small intestine.docVIP

 PAGE \* MERGEFORMAT 8 Diagnosis and treatment of 52 cases of rupture of small intestine [Keywords:] diagnosis and treatment of rupture of small intestine Although traumatic rupture of the small intestine in the abdominal injury is more common, but clinically inappropriate to delay in diagnosis and treatment still occur. Our hospital from 2002 to 2007 were treated 52 cases of rupture of small intestine, is now used for retrospective analysis, reported below. Materials and Methods 1. Clinical Data The group of 43 males and 9 females. Aged 16 to 66 years, of which 41 cases from 20 to 40 years old (78.8%, 60 years old in 5 cases. Stab wound in 15 cases, 29 cases of traffic accident injury, fall injury in 6 cases, crush injury in 2 cases. from injury to treatment time 1 С? 12 cases, 8 С? 28 patients, 12 С? 8 patients, 24 hours 4 cases. Apart from a coma outside the abdominal pain in patients with varying degrees, with typical symptoms of peritonitis and signs in 44 cases (84.6%, accompanied by shock in 12 cases (23%. All patients were given diagnostic paracentesis, a puncture-positive 36 cases (69.2% positive for the second puncture in 3 cases, of which solution was the puncture blood was 11 cases, turbidity, or fecal sample liquid in 2 cases, 26 cases of bile-like liquid, 34 cases of routine abdominal .52 X-ray examination found signs of pneumoperitoneum in 18 cases (52.9%. 2. Treatment After a positive preoperative preparation, all of the line emergency exploratory surgery. Duodenal duodenal fistula repair and descending part, jejunum fistula, gastric fistula, 1 case of intestinal rupture repair alone in 35 cases, small bowel resection 5 cases of intestinal anastomosis, intestinal suture plus colostomy in 2 cases, liver rupture repair in 2 cases, rupture of resection in 3 cases, 4 cases of mesenteric repair. In addition, 1 case of brain surgery, 6 cases of closed thoracic drainage. surgery parts of small intestine rupture was found in the