Earthquake casualty diagnosis and treatment of abdominal cavity organ injuries.docVIP

 PAGE \* MERGEFORMAT 7 Earthquake casualty diagnosis and treatment of abdominal cavity organ injuries Of: Gong Ka-hing, Cao Yongkuan, Zhangguo Hu, Xue Gang, Zhang Lin, Wang Pei Hong [Abstract] concluded earthquake wounded in our hospital diagnosis and treatment of perforation of hollow organs and found that: (1 symptoms and signs are hidden, (2 abdominal puncture is the most simple and reliable diagnostic tool, (3 abdominal exploration must be thorough. [Keywords:] Earthquake damage injury diagnosis and treatment of hollow organs After the 5.12 earthquake, as of May 19 24, the total hospital admissions of injured 2320 people, injured 1760 people were treated, including 8 cases of gastrointestinal perforation, were carried out surgical exploration, satisfactory results are reported as follows. Clinical data 1 General information the 8 patients, 5 males and 3 females, aged 35 to 78 years, with an average of 52 years. Gastric perforation in 1 case, 7 cases of intestinal perforation. Only a perforation in 3 cases, multiple perforation in 5 cases, most perforation 3, perforation and more smaller diameter of about 0.5 ~ 1.0cm, only 1 case of 8 hours after injury, found in the middle of treatment in patients with small bowel transection exploration. all have associated injuries, of which 3 cases of brain trauma, multiple fractures 4 cases of chest trauma in 1 case, 1 case of hepatic rupture, splenic rupture in 1 case, multiple skin laceration in 3 cases. treatment when the 5 patients with abdominal pain, tolerable, 1 case of unbearable abdominal pain, abdominal distention were the main 2 cases with mild abdominal pain. operative time was 9 ~ 94 hours after injury, average of 52 hours. postoperative wound infection in 2 cases. 2 diagnosis and treatment of this group, 7 patients diagnosed with abdominal puncture were under general anesthesia emergency laparotomy, followed by repeated intraoperative exploration, not missing any organs, including 1 ca