常见腹部外伤的识别,处理(国外英文资料).docVIP

常见腹部外伤的识别,处理(国外英文资料) Common abdominal trauma recognition, processing An overview, 1, classification, Penetration injury (peritoneal damage) Open injury (cracks in the abdominal wall) Non-penetrating injury (no peritoneal damage) Closed (abdominal wall) -often caused by blunt violence There is also a visible lesion in the clinic 2, clinical manifestations, Parenchyma or large blood vessel injury, internal bleeding in the abdominal cavity (main) The peritoneal stimulation is not usually heavy; There is abdominal mass (hematoma), mobile voice, blood urine and so on The appearance of peritonitis can be found when the liver and pancreas are damaged The damage to the cavity and the diffuse peritonitis (main) The amount of blood is generally small; Can have gastrointestinal symptom, gas abdomen sign, systemic infection performance Delta peritoneal stimulation (pain + rebound pain + muscle tension) The combination of delta and adjacent large blood vessels can be hemorrhaged 3, diagnosis, Open injury - whether for penetration injury!!! The closure of the injury There is no internal damage The article details the shock of injury, the accompanying digestion of the abdominal pain 2 attaches great importance to the general condition of observation of symptoms and signs and peritonitis, mobile sex dullness, haematemesis and bloody, pneumoperitoneum, digital rectal blood, considering internal organs damage (3) physical check Laboratory examination What is the damage of the machine Which kind of goes to which one The substantial? The cavity? The urology department? ... (1) a large area of viscera damage (2) multiple organ damage (3) combined outside of abdominal injury (4) the external injury involving the abdomen viscera bring about whether to have multiple injuries This is a diagnostic laparocentesis Puncture point: the mac-point or umbilical line is at the front of the axillary line Extraction fluids: no clotting of blood, substance or blood vessel damage? Clotting blood, punct