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57例腹部穿透伤行剖腹探查术的病例分析

[Analysis of 57 abdominal penetrating injury cases with exploratory laparotomy].

作者信息

Yu Yan-He, Peng Hui, Chen Yan-Qing, Zhang Ling-Fen, Peng Bin

机构信息

Public Security Bureau of Gutian County, Gutian 352200, China.

出版信息

Fa Yi Xue Za Zhi. 2011 Oct;27(5):358-60, 364.

Abstract

OBJECTIVE

To explore the characteristics of abdominal penetrating injuries with exploratory laparotomy, as well as to summarize the key points of injury degree, and to supply reasonable reference for the practice and criterion modification in forensic clinical medicine identification. METHODS Fifty-seven cases which were all abdominal penetrating injuries with exploratory laparotomy from July 1990 to February 2011 were retrospectively analyzed including the instrument causing trauma, amount of the hemoperitoneum, the organs of the injury, conclusion of the forensic indentification, and so on.

RESULTS

There was some correlation between the organ injury patterns, volume of hemoperitoneum and identification conclusion for the abdominal penetrating injury cases with exploratory laparotomy. CONCLUSION The intra-abdominal injury has important effect for the injury degree of the abdominal penetrating injury cases with exploratory laparotomy and should be considered in the practice and criterion modification of these kinds of cases.

摘要

目的

探讨剖腹探查术治疗腹部穿透伤的特点,总结损伤程度判断要点,为法医临床学鉴定的实践及标准修订提供合理参考。方法:回顾性分析1990年7月至2011年2月间57例剖腹探查术治疗的腹部穿透伤患者,内容包括致伤工具、腹腔积血量、损伤脏器、法医鉴定结论等。

结果

剖腹探查术治疗的腹部穿透伤患者的脏器损伤类型、腹腔积血量与鉴定结论之间存在一定相关性。结论:腹腔内损伤对剖腹探查术治疗的腹部穿透伤患者的损伤程度有重要影响,在这类案件的实践及标准修订中应予以考虑。

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