闭合性腹部创伤早期诊断与抢救成功率探讨
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摘要
目的探讨闭合性腹部创伤早期诊断的影响因素与抢救成功率。方法选择我院2011～2016年所收治的59例闭合性腹部创伤患者,对该组患者受伤早期的病史,临床表现,症状体征,以及相关辅助检查进行回顾性分析,阐述它们对早期诊断和抢救成功率的影响。结果在59例闭合性腹部创伤患者中,41例实施手术治疗,18例保守治疗,治疗抢救成功54例,占91.52%;死亡1例,占1.69%。结论从病史、早期体征、临床表现、辅助检查多方面进行总结,以期寻找到早期腹部闭合性创伤的最突出的、最具有共同性的特征,对实现该类伤者的早期准确诊断、避免误诊漏诊、提高抢救成功率具有一定的临床意义。
Objective To explore the influencing factors and successful rescue rate of early diagnosis of blunt abdominal trauma. Methods 59 patients with blunt abdominal trauma who were admitted and treated in our hospital from 2011 to 2016 were selected.Early medical history,clinical manifestations,symptoms and signs and related auxiliary examinations of patients in this group were retrospectively analyzed to explain their effects on early diagnosis and successful rescue rate. Results Among the 59 patients with blunt abdominal trauma,41 patients underwent surgical treatment and 18 received conservative treatment.54 cases were successfully rescued,accounting for 91.52%.One patient died,accounting for 1.69%. Conclusion Medical history,early signs,clinical manifestations and auxiliary examinations are summarized to the most prominent and common features of early blunt abdominal trauma,which has certain clinical significance for realizing early accurate diagnosis of such injuries,avoiding misdiagnosis and missed diagnosis and improving the successful rescue rate.
Objective To explore the influencing factors and successful rescue rate of early diagnosis of blunt abdominal trauma. Methods 59 patients with blunt abdominal trauma who were admitted and treated in our hospital from 2011 to 2016 were selected.Early medical history,clinical manifestations,symptoms and signs and related auxiliary examinations of patients in this group were retrospectively analyzed to explain their effects on early diagnosis and successful rescue rate. Results Among the 59 patients with blunt abdominal trauma,41 patients underwent surgical treatment and 18 received conservative treatment.54 cases were successfully rescued,accounting for 91.52%.One patient died,accounting for 1.69%. Conclusion Medical history,early signs,clinical manifestations and auxiliary examinations are summarized to the most prominent and common features of early blunt abdominal trauma,which has certain clinical significance for realizing early accurate diagnosis of such injuries,avoiding misdiagnosis and missed diagnosis and improving the successful rescue rate.
引文
[1]陈伟楚,陈志辉.B超与多层螺旋CT诊断急诊腹部创伤临床价值分析[J].医学影像学杂志,2015,25(11):2063-2064.
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[3]侯任昉,李和莅,黄丽.腹部创伤定点超声检查对急诊腹部闭合性创伤的临床诊断价值[J].医学临床研究,2017,34(5):840-843.
[4]郭乃才,赵玉霞.腹部创伤的CT影像学表现及诊断价值[J].中华劳动卫生职业病杂志,2015,33(8):613-615.
[5]徐来成.CT对腹部创伤的诊断价值分析[J].河南医学研究,2017,26(15):2793.
[6]王秀波,赵建明,杨军舰等.DR与螺旋CT诊断急诊胸腹部创伤中的临床应用价值分析[J].中国CT和MRI杂志,2017,15(3):72-74.
[7]张连阳.腹部创伤的诊断与治疗[J].中华消化外科杂志,2014,13(12):923-925.
[8]贺红艳,钱远宇.闭合性腹部创伤实脏器破裂早期诊断方法[J].中国医药导报,2014,11(1):24-25,28.
[9]胡望福,张玲.螺旋CT在腹部创伤诊断及病情评价中的应用价值[J].中国医疗器械信息,2017,23(18):83-84.
[10]杜燕,李书兵.超声在腹腔实质脏器闭合性损伤中的诊治价值[J].临床超声医学杂志,2017,19(11):770-772.
[11]王浩宇.探讨分析腹部创伤的CT诊断及其临床意义[J].中国卫生标准管理,2015,44(26):144-145.
[12]王飞燕.休克指数及CRAMS创伤评分法在腹部闭合伤早期抗休克治疗中的效果研究[J].上海护理,2016,16(1).
[13]梁建勋.急诊腹部创伤患者B超与CT诊断的临床方法探讨[J].影像研究与医学应用,2017,1(14):48-49.
[14]丁银新.腹部创伤CT诊断及临床价值分析[J].中国卫生标准管理,2014,34(18):1-3.
[15]秦卫东,王松,沈寿林,等.急诊医生应用超声技术对腹部创伤的快速诊断[J].广西医科大学学报,2014,31(4):683-684.
[16]刘珂石.腹部创伤的CT诊断及其管理分析[J].中国卫生产业,2016,13(8):39-41.
[2]陈藤,王志刚.急诊腹部创伤患者B超与CT诊断的临床价值分析[J].中国CT和MRI杂志,2016,14(7):106-108.
[3]侯任昉,李和莅,黄丽.腹部创伤定点超声检查对急诊腹部闭合性创伤的临床诊断价值[J].医学临床研究,2017,34(5):840-843.
[4]郭乃才,赵玉霞.腹部创伤的CT影像学表现及诊断价值[J].中华劳动卫生职业病杂志,2015,33(8):613-615.
[5]徐来成.CT对腹部创伤的诊断价值分析[J].河南医学研究,2017,26(15):2793.
[6]王秀波,赵建明,杨军舰等.DR与螺旋CT诊断急诊胸腹部创伤中的临床应用价值分析[J].中国CT和MRI杂志,2017,15(3):72-74.
[7]张连阳.腹部创伤的诊断与治疗[J].中华消化外科杂志,2014,13(12):923-925.
[8]贺红艳,钱远宇.闭合性腹部创伤实脏器破裂早期诊断方法[J].中国医药导报,2014,11(1):24-25,28.
[9]胡望福,张玲.螺旋CT在腹部创伤诊断及病情评价中的应用价值[J].中国医疗器械信息,2017,23(18):83-84.
[10]杜燕,李书兵.超声在腹腔实质脏器闭合性损伤中的诊治价值[J].临床超声医学杂志,2017,19(11):770-772.
[11]王浩宇.探讨分析腹部创伤的CT诊断及其临床意义[J].中国卫生标准管理,2015,44(26):144-145.
[12]王飞燕.休克指数及CRAMS创伤评分法在腹部闭合伤早期抗休克治疗中的效果研究[J].上海护理,2016,16(1).
[13]梁建勋.急诊腹部创伤患者B超与CT诊断的临床方法探讨[J].影像研究与医学应用,2017,1(14):48-49.
[14]丁银新.腹部创伤CT诊断及临床价值分析[J].中国卫生标准管理,2014,34(18):1-3.
[15]秦卫东,王松,沈寿林,等.急诊医生应用超声技术对腹部创伤的快速诊断[J].广西医科大学学报,2014,31(4):683-684.
[16]刘珂石.腹部创伤的CT诊断及其管理分析[J].中国卫生产业,2016,13(8):39-41.