摘要
目的:探讨外伤闭合性单纯小肠破裂的早期诊断及治疗的方法。方法:回顾分析77例外伤闭合性单纯小肠破裂的临床资料。结果:小肠破裂单纯缝合修补65例,小肠部分切除端端吻合6例,小肠修补加小肠部分切除端端吻合6例,全部治愈。结论:早期诊断依靠外伤史和腹膜炎体征,诊断性腹穿阳性率高,X线检查有气腹征可明确诊断,CT和B超有重要参考价值。及时手术是降低并发症的关键。
Objective ：To investigate the early diagnosis and treatment of traumatic enterorrhexis of small intestine. Methods： Retropective analysis was made on 77 cases with traumatic enterorrhexis of small intestine diagnosis from October 1998 to October 2006. Results： All of the cases were cured. We adopted single repairs in 65 cases. 6 cases were excised a part of small intestine. Furthermore, 6 cases were operated with both repairs and excision, Conclusions： The early diagnosis depends on clinic symptom. Abdomen cavity puncture technology can provide important masculine results. By the assistant check-up of X ray we can find the celiac gas, B ultrasonic and CT also can provide valuable information. Early poperation is the key to reduce compications.
出处
《陕西医学杂志》
CAS
北大核心
2007年第6期686-688,共3页
Shaanxi Medical Journal
关键词
小肠
破裂/诊断
破裂/外科学
Intestine,small Enterorrhexis/diagnosis Enterorrhexis/surgery
