Pinkas A L, Daaliev S I, Borisov S S, Antonov P A
Khirurgiia (Mosk). 1991 Dec(12):23-5.
Among 2,778 patients with mechanical injury, 361 (13.3%) had closed abdominal trauma. The authors distinguish two syndromes in the clinical picture: developing peritonitis and intraabdominal blood loss. Laparocentesis is conducted if injury to the viscera is suspected; the authenticity of the intervention comes up to 97.9-100%. Ultrasonic examination may be undertaken if hemodynamics are stable before laparocentesis.
在2778例机械性损伤患者中,361例(13.3%)有闭合性腹部创伤。作者在临床表现中区分出两种综合征:发展中的腹膜炎和腹腔内失血。如果怀疑有内脏损伤,则进行腹腔穿刺;该干预措施的准确率达97.9% - 100%。如果在腹腔穿刺前血流动力学稳定,可以进行超声检查。