[腹部穿透性刺伤的选择性处理方法]
[Selective approach to the penetrating stab wounds to the abdomen].
作者信息
Emergen Ilhan, Ekiz Feza, Yucel Tayfun, Akpinar Ayhan, Gonullu Dogan, Mecit Nesimi
机构信息
Taksim Egitim ve Arastirma Hastanesi I. Genel Cerrahi Klinigi, Istanbul, Turkey.
出版信息
Ulus Travma Derg. 2002 Oct;8(4):209-14.
BACKGROUND
To present the results of the selective treatment on the penetrating stab wound to the abdomen
METHODS
From December 1997 to February 200, 175 patients had penetrating stab wound injuries to the abdomen. Of the 175 patients, 61 (34.9%) in Group I were taken to the operating room urgently, 114 (65.1%) in Group 11 were treated selectively.
RESULTS
It is evident that the rate of unnecessary laparotomies (X2=6.7, p=0.03), morbidity rate (X2=15.4, p<O.OO1), and hospital stay (F=54, p<O.OOO1 ) in the selectively treated group decrease significantly when compared with the non-selective group.
CONCLUSION
Selective approach to the penetrating stab wounds to the abdomen is a safe method. Furthermore, this method obviates most of the unnecessary laparotomies. For this reason, morbidity rate and hospitalization decrease significantly. Key words: Conservative treatment, unnecessary laparotomy, morbidity, hospital stay.
背景
介绍腹部穿透性刺伤的选择性治疗结果
方法
1997年12月至2000年2月，175例患者有腹部穿透性刺伤。在这175例患者中，I组61例（34.9%）被紧急送往手术室，II组114例（65.1%）接受选择性治疗。
结果
显然，与非选择性治疗组相比，选择性治疗组的不必要剖腹手术率（X2 = 6.7，p = 0.03）、发病率（X2 = 15.4，p < 0.001）和住院时间（F = 54，p < 0.0001）显著降低。
结论
腹部穿透性刺伤的选择性治疗方法是一种安全的方法。此外，该方法避免了大多数不必要的剖腹手术。因此，发病率和住院时间显著降低。关键词：保守治疗、不必要的剖腹手术、发病率、住院时间
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