关键词: 腹部损伤, 创伤, 急诊手术, 损伤控制性外科

Abstract: 【Abstract】〓Objective〓To discuss the diagnosis and treatment of abdominal injury in severe trauma. Methods〓The data of 355 cases of abdominal injuries with severe trauma in our hospital from Sept. 1999 to Sept. 2012 were analyzed. Results〓319 patients underwent immediate abdominal operations.103 patients received over two operations on different anatomic regions under a single anesthesia. Mean length of stay in the intensive care unit was 28.6±10.8 days. 237 cases had a good recovery, 78 cases were disability and 40 cases died. Conclusion〓Diagnostic peritoneocentesis and Ultrasound are rapid and accurate modalities for the diagnosis of intraabdominal injury. CT is sensitive for the evaluation of abdominal injury in hemodynamically stable patients. The operation sequence should be depended on the importance and the injury severity of the involved organ. The operations on different anatomic regions should be done as far as possible under a single anesthesia. Damage control surgery would effectively reduced mortality rate.

Key words: Abdominal injury, Trauma, Emergency operation, Damage control surgery