Rylov A I, Kravets N S
Klin Khir. 2001 Jan(1):15-7.
The experience of treatment of 69 injured persons with posttraumatic retroperitoneal hematoma suffering severe multiple combined abdominal trauma was analyzed. Application of the classification proposed permits to formulate diagnosis and to choose the tactic of treatment correctly. The intraoperative tactics algorithm was elaborated. It promotes the correct analysis of intraoperative findings and reduction of the diagnostic mistakes frequency as well. In the presence of vast defect, making impossible to suture over the parietal peritoneum, extraperitonization using cerebral dura mater was done. Operative intervention was concluded by drainage with subsequent laserotherapy.
对69例患有创伤后腹膜后血肿且伴有严重腹部多发复合伤的伤者的治疗经验进行了分析。应用所提出的分类方法有助于正确做出诊断并选择治疗策略。制定了术中策略算法。这有助于正确分析术中发现并降低诊断错误的发生率。当存在巨大缺损以至于无法缝合壁层腹膜时，采用硬脑膜进行腹膜外覆盖。手术干预以引流并随后进行激光治疗结束。
