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三十年期间的腹部创伤:一个大型病例系列分析

Abdominal trauma during thirty years: analysis of a large case series.

作者信息

Bergqvist D, Hedelin H, Karlsson G, Lindblad B, Mätzsch T

出版信息

Injury. 1981 Sep;13(2):93-9. doi: 10.1016/0020-1383(81)90041-3.

DOI:10.1016/0020-1383(81)90041-3
PMID:7327735
Abstract

Studies have been made in 1407 patients of the causes, the organs involved and the outcome of injury to the abdomen in patients needing admission to hospital in an area of Southern Sweden, between 1950 and the end of 1979. The proportion of female patients and those aged over 60 increased significantly. The seasonal distribution of the injuries showed significant change, with a drop in the initially high frequency sustained during the summer months. Penetrating injuries were rare, but increased in the 1970s. Road traffic accidents as the cause of abdominal injuries rose to a maximum of 56 per cent in the late 1960s. The numbers of injured organs and the frequency of other associated injuries rose gradually until the mid-1970s, after which there was a slight decrease. The spleen, liver and large blood vessels were the organs which were increasingly often injured. The annual incidence of various visceral injuries per 100 000 population was calculated. The number of patients with a delay of at least 24 hours before operation fell significantly and there was a tendency to shorter hospital stay. The mortality curve showed a peak in the late 1960s.

摘要

1950年至1979年底期间,对瑞典南部一个地区1407名因腹部受伤需住院治疗的患者的病因、受累器官及损伤结局进行了研究。女性患者和60岁以上患者的比例显著增加。损伤的季节分布有显著变化,夏季最初高发的频率有所下降。穿透性损伤很少见,但在20世纪70年代有所增加。交通事故作为腹部损伤的原因在20世纪60年代末升至最高,达56%。受伤器官的数量和其他相关损伤的频率在20世纪70年代中期之前逐渐上升,之后略有下降。脾脏、肝脏和大血管是越来越常受伤的器官。计算了每10万人口中各种内脏损伤的年发病率。手术前至少延迟24小时的患者数量显著下降,住院时间有缩短的趋势。死亡率曲线在20世纪60年代末出现峰值。

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