摘要
目的:探讨普外急腹症的有效治疗方法。方法:2013年5月-2014年5月收治急腹症患者30例,患者均用开腹手术治疗,对其临床资料进行回顾性分析。结果:在手术中,1例溃肠病急性穿孔患者因病情严重,术中出现大出血,造成手术失败,后抢救无效死亡。整个手术成功率96.7%。术后出现伤口延迟愈合2例,再发腹胀1例,失血性休克1例,并发症发生率13.3%。结论:开腹手术治疗普外急腹症的临床效果较为显著,但存在患者创口大、术中出血量多、术后恢复慢、并发症发生率较高等缺点,在条件允许的情况下尽量使用腹腔镜微创手术进行治疗。
Objective:To explore the effective treatment method of acute abdomen.Methods:30 patients with acute abdomen were selected from May 2013 to May 2014.The patients were treated with open operation.The clinical data were retrospectively analyzed.Results:In the operation,1 case with ulcers disease acute perforation occured hemorrhoea during operation because of serious condition,which caused operation failure,and the patient was rescue invalid death.The operation success rate was 96.7%.2cases occured delay wound healing after operation;1 case was recurrence of abdominal distension;1 case was hemorrhagic shock;the complication incidence rate was 13.3%.Conclusion:The clinical effect of laparotomy in the treatment of surgical acute abdomen is more significant.But the laparotomy has the defects such as big wound of patients,many intraoperative blood loss,slow postoperative recovery,higher complication incidence rate and so on.In the conditions allow,it as far as possible uses laparoscopic minimally invasive surgery for the treatment.
关键词
普外
急腹症
开腹手术
General Sugery
Acute abdomen
Laparotomy
