多创伤诱导腹膜炎的保守管理:经验,结果和指示
Qi Chen1, Tao Zhu1, Jia-Kang Liu1
1Department of Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
创伤性腹膜炎的保守治疗在没有严重腹部损伤的稳定患者中是安全和有效的. 这种方法避免了手术,并使许多患者成功康复和出院.
科学领域:
- 创伤外科 手术 创伤外科
- 手术重症监护手术重症监护
- 紧急医疗 紧急医疗
背景情况:
- 对于创伤性腹膜炎的立即腹腔切除术的必要性正在重新评估.
- 新出现的证据质疑在这种情况下外科手术的普遍应用.
研究的目的:
- 介绍有关多创伤患者患有腹膜炎的保守管理的发现.
- 分享非手术治疗策略的临床经验和结果.
主要方法:
- 在多次受伤后被诊断患有创伤性腹膜炎的患者进行了回顾性分析.
- 审查了184名患者的数据,特别关注保守管理的患者.
主要成果:
- 在184名患者中,有46人接受了创伤性腹膜炎的保守治疗.
- 所有46名患者在不需要切换到手术干预的情况下成功康复,并被出院.
- 后续评估显示没有显著的长期不良影响.
结论:
- 保守的管理是一种可行的,安全和有效的选择,用于血液动力学稳定的患有创伤性周周炎的患者.
- 当没有明显迹象表明严重的腹内器官损伤时,建议采用这种方法.
- 成功的保守治疗提供了显著的好处,可能避免不必要的外科手术.
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