严重腹外伤患者外科手术治疗临床效果分析张金龙.docVIP

精品论文 参考文献 严重腹外伤患者外科手术治疗临床效果分析张金龙 首钢矿山医院 河北 唐山 064402 [ 摘　要] 　目的:分析比较腹部外伤患者进行救治的方法措施及临床效果，以期更好的为临床决策提供参考依据。 方法:回顾性分析我院在2010年6月～ 2015年6月期间收治的腹部外伤患者共120例的各项临床资料，随机分为对照组和观察组。对照组60例, 采用非手术保守治疗;观察组60例, 在对照组基础上加用手术治疗。 结果:本组共治愈112例, 死亡8例, 治愈率为93.3%。其中，观察组治愈59例，治愈率为98.33 %, 对照组治愈53例，治愈率为88.33%, 两组患者治愈率具有显著性差异(P lt;0.05)。 结论:手术是治疗腹部外伤所造成脏器损伤的首选方法；早期明确诊断以及术中选择正确的手术方式是提高手术疗效的关键。 [ 关键词] 　腹外伤;手术;肝破裂;脾破裂 【中图分类号】R518【文献标识码】A【文章编号】1001-5213(2016)09-0058-01 Clinical Efficacy of Abdominal Trauma Patients Treated by Surgery [Abstract] Objective: To compare the treatment methods and clinical effect of measures for patients with abdominal trauma ，and than can provide better reference for clinical decision making. Methods: A retrospective analysis of patients with abdominal trauma admitted in hospital during June 2010to June 2015 ，and the clinical data of a total of 120 cases were randomly divided into control group and observation group. The control group of 40 patients, non-surgical conservative treatment; observation group of 80 cases, and add to surgery in basis of the control group . Results: 112 cases were cured, 8 cases were dead, the cure rate was 93.3%. Among them, the observation group of 59 cases were cured, the cure rate was 98.33% ，the control group of 53 cases were cured, the cure rate was 88.33%, the cure rate of the two groups was significant difference (P lt;0.05). Conclusions: Surgery is the preferred method of treatment of abdominal organ injuries caused by trauma; early diagnosis and surgery to choose the correct surgical approach is the key to improving the efficacy. [Keyword] abdominal trauma; surgery; liver rupture; splenic rupture 　 近年来随着社会经济的飞速发展带动交通运输业的突破，各种交通事故等意外事件的发生率与日俱增，事故造成的腹部外伤患者也在逐渐上升[1]。腹??外伤在各个医院的急诊科是较常见的疾病, 它是指腹部受各种致伤因子作用（如交通事故、工伤事故等）而发生的组织损伤和功能障碍。腹部外伤患者在急诊时，腹腔内脏破裂是十分常见的[2]。诊断和治疗腹腔内遭受到的损伤非常困难，这是因为腹腔内脏器较多,且都是对人体至关重要的脏器，一次意外的撞击或者碰撞便会使得多个重要脏器一起受到损伤, 给患者生命安全带来极大的威胁。所以，我们应该尽早地对其作出既迅速又精准的诊断，并在诊断后及时地处理患者的伤情，这些是降低患者死亡率的关键部分[3]。回顾本院在2010年6月～2015年6月