在没有空洞粘膜损伤的情况下对创伤性肺上皮质进行 laparoscopic 评估:一个案例系列
Hideo Kidogawa1, Takeshi Konno1, Takatomo Yamayoshi1
1Department of Surgery, Kitakyushu City Yahata Hospital, Kitakyushu, JPN.
Cureus
|November 10, 2025
概括
在重创伤后,自由的肺皮通常是穿孔的信号,但并不总是如此. 诊断性腹腔镜安全评估了多次受伤的患者,排除了内脏穿孔,避免了不必要的手术.
科学领域:
- 创伤外科 手术 创伤外科
- 诊断成像 诊断成像 诊断成像
- 紧急医疗 紧急医疗
背景情况:
- 突击创伤后的自由肺 (自由腹腔内空气) 通常表明空洞粘膜穿孔,往往需要紧急手术.
- 在多次受伤的患者中,在空气中诊断穿孔是具有挑战性的.
- 本文重点介绍的是没有实际穿孔的情况下存在自由空气的情况.
研究的目的:
- 评估诊断性腹腔镜在多次受伤的患者中具有创伤性肺关节炎的实用性.
- 为了确定腹腔镜是否可以在这个特定的患者群体中安全地排除内脏穿孔.
- 为了避免在血液动力学稳定的患者中不必要的腹腔切除术.
主要方法:
- 三名多次受伤的患者的病例系列,他们患有创伤性肺关节炎.
- 所有患者都经历了高能量创伤,并与此相关的严重伤害.
- 在每种情况下,用于腹部评估的诊断性腹腔镜.
主要成果:
- 在这三种情况下,诊断性腹腔镜成功排除了腹内损伤,包括内脏穿孔.
- 患者避免了与不必要的探索性腹腔切除相关的发病率.
- 该程序被认为是对评估患者的安全和有效.
结论:
- 在多次受伤的患者中,创伤性肺关节炎并不总是意味着内脏穿孔.
- 诊断性腹腔镜是评估血液动力学稳定不清楚的创伤性肺关节病患者的一个有价值的工具.
- 这种方法可以防止不必要的手术干预和相关的并发症.
相关概念视频
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