【中图分类号】R64【文献标识码】A【文章编号】1185-1672(2009)-12-1089-02

    【摘要】目的探讨腹部刀刺伤的诊断及治疗。方法回顾性分析我院2003年1月至2009年10月收治的50例腹部刀刺伤病例的临床资料。结果本组治愈48例,死亡2例,其中手术46例,均为腹壁穿透伤,剖腹探查未见脏器损伤4例,非手术治疗4例,均为腹壁损伤。结论休克、大网膜及腹腔脏器脱出、腹痛伴腹膜炎体征、诊断性腹腔穿刺阳性均是手术指征,复合、复杂刀刺伤是死亡的主要原因,术中仔细探查,避免漏诊、漏治,是腹部刀刺伤的诊治关键。

    【关键词】腹部刀刺伤;诊断;治疗

    Diagnosisandtreatmentofabdominalstabwoundanalysisof50casesof

    LiuJianXiang

    QingzhenCity,GuizhouProvince,FirstPeople'sHospitalGeneralSurgery,551400,China

    【Abstract】ObjectiveToinvestigatethediagnosisofabdominalstabwoundandtreatment.Methods

    RetrospectiveanalysisofourhospitalfromJanuary2003toOctober2009weretreated50casesofabdominalstabtheclinicaldata.Results

    The48caseswerecured,2patientsdied,including46casesofsurgery,arepenetratingabdominalinjuries,laparotomywasnoorganinjuryin4cases,non-surgicaltreatmentin4cases,bothabdominalwallinjury.Conclusion ......