Saadia R, Degiannis E
Departments of Surgery, University of Manitoba and Health Sciences Centre, Winnipeg, Canada.
Br J Surg. 2000 Apr;87(4):393-7. doi: 10.1046/j.1365-2168.2000.01414.x.
Non-operative treatment is a management option that challenges the traditional mandatory laparotomy for abdominal gunshot injuries.
All published relevant clinical reports were retrieved by searching through the Medline database and manually. The theoretical arguments in favour of non-operative management as well as the results of the reviewed reports are analysed and evaluated.
Patients with proven non-penetration of the abdominal cavity can be offered conservative treatment with a satisfactory outcome. Greater caution should be exercised in the presence of a documented visceral injury until the safety of this option has been established by further clinical trials.
非手术治疗是一种治疗选择，对腹部枪伤传统上必须进行的剖腹手术提出了挑战。
通过检索Medline数据库并手动检索，获取所有已发表的相关临床报告。分析并评估支持非手术治疗的理论依据以及所审查报告的结果。
经证实腹腔未穿透的患者可接受保守治疗，效果令人满意。在有记录的内脏损伤情况下，应更加谨慎，直到通过进一步的临床试验确定这种治疗选择的安全性。
