Diagnosis and treatment of blunt abdominal trauma.docVIP

 PAGE \* MERGEFORMAT 9 Diagnosis and treatment of blunt abdominal trauma [Keywords:] closed injury phase of intra-abdominal puncture, the Ministry of laparotomy. [Abstract] This paper reported by Caesarean section confirmed diagnosis and treatment of 81 patients with blunt abdominal trauma situations conjunction with the presentation of blunt abdominal trauma “phase” of, emphasizing the non-typical cases of clinical observation and repeated the need for the use of special inspections is proposed is not appropriate to Abdominal puncture as a laparotomy absolute positive indication of abdominal organ injury in a variety of closed surgical principles. Our hospital from October 1995 to August 1999 were treated 83 cases of blunt abdominal trauma, conservative cure in 2 cases, laparotomy-controlled investigation of 81 cases, of which no special treatment after laparotomy in 2 cases, required surgery in 79 cases, two or more injury in 8 cases. 1, clinical data Male and 69 cases, female 14 cases, male to female ratio 4.9: 1, age 1-68 years with a mean age of 28 years. Injuries reasons: 56 cases of accidents, fall injuries in 23 cases, the Big Dipper Europe injuries in 4 cases. Injuries: 41 cases of splenic rupture, hepatic rupture in 23 cases, small intestine injury in 6 cases, 4 cases of renal injury, bladder injury in 3 cases of retroperitoneal hematoma in 8 cases, 2 cases of colon rupture, mesenteric injury in 5 cases. 2 cases of conservative and cured, 2 cases of traumatic rupture of liver and intra-abdominal multiple organ injury in hemorrhagic shock leading to multiple system organ failure and death, the remaining 81 cases underwent abdominal surgery, 37 patients with splenectomy. One of autologous splenic tissue transplantation in 26 cases, repair, 4 cases of liver rupture repair in 21 cases, left lobe of liver resection of two cases of irregular, small intestine rupture repair in 3 cases, resection and anastomosis of sm