摘要
腹部创伤患者救治中如何降低漏诊率和阴性探查率仍然是临床难题.本文基于血流动力学和致伤机制提出诊断与治疗流程,进一步阐述该流程中涉及的体格检查、创伤重点超声评估（FAST）、CT检查和诊断性腹腔灌洗（DPL）等腹部创伤伤情评估技术,钝性伤和穿透伤手术指征等紧急救治策略,以及腹腔镜下和剖腹时的探查技术.
Reducing the misdiagnosis rate and negative exploratory rate is still a challenge in the diagnosis and treatment process for abdominal trauma.In this article,the diagnosis and treatment are processed based on the hemodynamic and injury mechanism,and the injury evaluation techniques including physical examination,focused abdominal sonography for trauma,computed tomography,diagnostic peritoneal lavage and urgent treatment strategies for blunt trauma and penetrating trauma,as well as the exploratory techniques in the laparoscopy and laparotomy are introduced.
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2014年第12期923-925,共3页
Chinese Journal of Digestive Surgery
基金
卫生行业科研专项（201302016）
国家科技支撑计划项目（2012BAI11B01）
关键词
腹部创伤
诊断
治疗
Abdominal trauma
Diagnosis
Therapy
