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Objective To study the function of the laparoscope in abdominal trauma diagnosis and treatment.Method To use laparoscope in diagnosis and treatment for 20 cases abdominal trauma.Result 11 cases avoided the operation of the open abdomin,7 cases got treatment under the laparoscope;5 cases avoided the negative exploration.Conclusion Laparoscope can be used to clear the diagnosis.avoid negative exploration,treat the injury and help operator to choose incision and type of operation. 目的 研究腹腔镜在腹部外伤诊断和治疗中的作用。方法 对20例腹部外伤患者采用腹腔镜诊断和治疗。结果 11例外伤患者避免了剖腹手术,7例患者在镜下得到治疗,5例经检查无内脏损伤,避免了阴性探查。结论 腹腔镜应用于腹部外伤可明确诊断,避免阴性剖腹探查,有些损伤可在镜下治疗,镜下治疗无效时可帮助切口及术式选择 Objective To study the value of laparoscopic exploration (LE) in the surgicd acute abdomen.Methods To review the effect of diagnosis and treatment with laparoscopy in 36 cases of acute abdomen.Results All patients had comfirmed diagnosis,30 cases(83 3%)avoided laparotomy.No complications occurred and all recovered well.Conclusion Not only could the diagnosis be made accurately for acute abdomen or abdominal trauma under laparoscopic exploration,but also laparoscopic treatments could be performed for most... Objective To study the value of laparoscopic exploration (LE) in the surgicd acute abdomen.Methods To review the effect of diagnosis and treatment with laparoscopy in 36 cases of acute abdomen.Results All patients had comfirmed diagnosis,30 cases(83 3%)avoided laparotomy.No complications occurred and all recovered well.Conclusion Not only could the diagnosis be made accurately for acute abdomen or abdominal trauma under laparoscopic exploration,but also laparoscopic treatments could be performed for most patients who needed operation laparotomies were avoided for those who required only conservative treatment.Moreover,laparoscopic exploration was a great help to guide surgical plans even if the patients could not be treated laparoscopically. 目的 探讨腹腔镜技术在外科急腹症探查术中的应用价值。方法 回顾性总结 3 6例腹腔镜外科急腹症探查及治疗的疗效。结果 3 6例经腹腔镜检查全部明确诊断 ,3 3例免除开腹手术 ,所有病例均恢复顺利 ,无术后并发症及死亡。结论 急诊腹腔镜探查术不仅可以对诊断不明的急腹症或腹部外伤作出准确诊断 ,而且大部分病人可在腹腔镜下完成手术治疗 ,部分无需手术处理的患者避免了不必要的剖腹探查。即使腹腔镜不能完成的手术 ,也可以指导拟定手术方案 Objective To explore the application of DCS in serious abdominal injuries.Methods The clinical data of 7 cases with serious abdominal injuries admitted in hospital from June 2004 to May 2005 were collected for study.The principles of the DCS were appled separately.Results All 7 cases received simplify operative treatment and precised operative in 72 hours.Of all,6 cases were cured and 1 died.Conclusion Damage control surgery(DCS) can improve greatly the rescue in abdominal injuries.It is spread deservedly in... Objective To explore the application of DCS in serious abdominal injuries.Methods The clinical data of 7 cases with serious abdominal injuries admitted in hospital from June 2004 to May 2005 were collected for study.The principles of the DCS were appled separately.Results All 7 cases received simplify operative treatment and precised operative in 72 hours.Of all,6 cases were cured and 1 died.Conclusion Damage control surgery(DCS) can improve greatly the rescue in abdominal injuries.It is spread deservedly in clinical. 目的探讨损伤控制外科(damage control surgery,DCS)在严重腹部外伤中的应用。方法总结2004年6月~2005年4月收治的7例严重腹部外伤的临床资料,其治疗均采用DCS的3阶段原则:初始简化手术、复苏、和确定性手术。结果7例均进行了早期的止血和控制污染的简化手术,72 h内行二次确定性手术,其中治愈6例、死亡1例。结论损伤控制外科能显著地提高严重腹部外伤的救治率,值得在临床推广应用。
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