Source: Medical Innovation

In all surgical emergency, the most common is abdominal trauma, now with the other modes of transport, social security, and building a variety of frequent accidents, the number of patients with abdominal trauma so more and more, and more serious injuries see [1]. Severe abdominal trauma patient's condition usually complex, to the hospital for treatment are usually in a coma, and the high mortality [2]. To minimize mortality, improve the success rate, early anti-shock and surgical treatment is the key. 64 cases of patients with severe abdominal trauma surgical treatment, good results are reported below.

Materials and Methods

1.1 General information: Choose February 2010 - April 2013 to our hospital for treatment of severe abdominal wounds 64 patients were randomly divided into observation group and control group 32 cases. The observation group were 18 males and 14 females, aged 23 to 68 years; mean (50.3 ± 3.5) years. The control group of 15 males and 17 females, aged 22 to 70 years, mean (55.3 ± 1.3) years. In all patients, 13 cases of car accident injuries, nine cases of fall injury, 10 cases or injured, 15 sharp injuries, 10 cases of gunshot wounds, seven cases of injuries rolling machine. Abdominal organ injury by patients in 25 cases, 25 cases of patients with blunt abdominal trauma, 5 patients with open wounds, nine cases of patients with damage to other parts.

1.2 Methods: In 64 patients, the surgical treatment and conservative treatment in patients with 32 cases each. 25 cases of patients with blunt abdominal trauma, laparotomy in patients at the same time, exploration craniotomy and 10 patients underwent craniotomy line laparotomy. After blunt abdominal trauma with 30 patients with retroperitoneal hematoma, 13 patients treated conservatively, three cases of negative laparotomy. In all patients underwent abdominal biopsy: parenchymal organs injury in 18 cases, 15 cases positive; essence, hollow organ injuries in 16 cases, 11 cases positive; 15 cases of abdominal vascular injury, positive in 9 cases; omentum Department film contusion 17 cases, positive in 12 cases.

1.3 Statistical analysis: SPSS 18.0 对 use the data for statistical analysis to P <0.05 was considered statistically significant.

2 Results

32 cases of conservative treatment were cured 20 cases, improved in 5 cases, 7 deaths; 32 cases were cured 28 cases of surgically treated patients, improved in 3 cases, 1 death. In 62 cases of severe abdominal trauma patients, 48 cases were cured, the cure rate was 77.4%, 8 patients died, the mortality rate was 13 percent, and three patients died after 2 h of admission hemorrhagic shock; 3 patients with abdominal aortic abdominal injury aneurysm rupture died of hemorrhagic shock, 2 patients died of renal failure. Treatment of patients in the control group total effective rate than the control group of patients, the difference was statistically significant (P <0.05).

3 Discussion

For abdominal trauma, the injury is usually more complex, will be showing a multi-organ damage, which brings to the diagnosis and treatment of difficult to a large extent, is a serious abdominal trauma patient to the hospital for treatment, usually for the shock, coma and breathing difficulties.Doctors abdominal trauma need to have a high sense of vigilance, and must not be limited to fractures, head trauma and external bleeding, you need to pay more attention to whether the patient bleeding phenomenon. The key to timely surgical patients, early anti-shock is to increase the rescue rate, reduce patient mortality [3-4]. For shock patients, usually occurs blunt abdominal trauma with multiple injury bleeding, when patients vital signs weak, dangerous condition, if an emergency situation should be timely surgery.