Nesbakken A, Naess F, Solheim K, Pillgram-Larsen J, Gerner T, Stadaas J O
Kirurgisk avdeling, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1990 Sep 30;110(23):2994-8.
We present a series of 331 patients admitted to hospital in 1980-87 with abdominal injuries after blunt trauma. The patients included 230 males and 101 females. The median age was 29 years. More than half of the patients were injured in traffic accidents. 11% were transferred to our Trauma Center from other hospitals, median five hours after the accident. A doctor-manned helicopter transported 52 patients (18%) directly to our hospital. 70% had extra-abdominal injuries as well. A minimum of 20% were intoxicated by alcohol and/or drugs. Severe injuries (AIS greater than 3) were present in 46%. 168 patients underwent laparotomy, in 56% within two hours of admission. In 27 of the 168 laparotomized patients (16%) no intraabdominal injury was encountered that needed repair.
我们呈现了1980年至1987年间因钝性创伤导致腹部损伤而入院的331例患者的情况。患者包括230名男性和101名女性。年龄中位数为29岁。超过半数的患者在交通事故中受伤。11%的患者是在事故发生后中位数5小时从其他医院转至我们的创伤中心。一架由医生操控的直升机将52例患者（18%）直接送至我院。70%的患者还伴有腹部外损伤。至少20%的患者存在酒精和/或药物中毒情况。46%的患者有严重损伤（简明损伤定级大于3）。168例患者接受了剖腹探查术，其中56%在入院后两小时内进行。在168例接受剖腹探查术的患者中，有27例（16%）未发现需要修复的腹腔内损伤。
