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Condition Judgement and Dynamic Observation of Acute Abdomen

目的 总结对急腹症在病情判断方面的经验。方法 回顾性分析310例急腹症患者的临床资料。结果 即时确诊211例，经短暂观察确诊54例，经手术探查确诊32例，未明确诊断但经保守治疗痊愈好转6例，误诊、漏诊7例，总确诊率为95.8%。结论 急腹症的病情判断和动态观察是明确诊断和及时治疗的前提。只有勤于实践并掌握正确的方法才能提高分析判断能力。

超声诊断妇科急腹症

【摘要】 目的 总结经腹部B超在妇科急腹症诊断中的应用。方法 回顾分析2007年1月—2009年3月115例妇科急腹症患者的腹部B超检查资料,并将超声结果与最后临床诊断结果进行对比。结果 经腹部超声诊断妇科急腹症的总误诊率7.83%,总符合率为92.17%。结论 腹部超声对妇科急腹症的诊断准确性高,对于超声声像图特征不明显者,应结合患者的病史及实验室检查,可提高诊断准确性。

Present Situation and Progress in The Application of Laparoscopy in Treatment of Acute Abdomen

ObjectiveTo explore the diagnostic and therapeutic value of laparoscopy in acute abdomen. MethodsRelated literatures were collected to analyze the advantages, the scope of application, and the effect on the body of laparo-scopy, and to clearly defined the indications of laparoscopy in acute abdomen and related taboos. ResultsMost people could be tolerated for CO2 pneumoperitoneum. Laparoscopic surgery had a certain advantages compared with open surgery in the diagnosis and treatment. It was widely used in the diagnosis and treatment of acute abdomen. ConclusionLaparo-scopic surgery is recommended for acute appendicitis, acute cholecystitis, peptic ulcer perforation, and so on, but it is still controversial in intestinal obstruction, intestinal diverticulum perforation, and the application of abdominal trauma, which need more randomized controlled studies comparing with open operation.

Diagnosis and Treatment of Acute Abdomen by Laparoscope in 22 Cases

【摘要】目的 探讨腹腔镜技术在急腹症探查术中应用的临床意义。方法 回顾性总结我院行急诊腹腔镜探查及治疗的22例急腹症患者的临床资料。结果 22例经腹腔镜检查全部明确诊断,除1例肠系膜上动脉栓塞的患者中转开腹外，所有手术均在腹腔镜下或辅助下完成，均恢复顺利,无术后并发症及死亡。结论 急诊腹腔镜探查术不仅能对急腹症的病因作出明确诊断,而且可在腹腔镜下完成大部分患者的治疗。

妊娠晚期急腹症手术预防早产的护理

目的:探讨妊娠晚期急腹症手术预防早产的护理措施。方法:回顾分析26例妊娠晚期急腹症孕妇的术前、术后护理情况。结果:26例患者经及时治疗、精心护理,顺利痊愈出院。结论:做好妊娠晚期急腹症孕妇术前心理护理、监测患者生命体征及胎儿一般情况;术后严密监测生命体征变化、做好胎心、胎动的观察与护理疼痛的护理、采取合理的卧位、防止感染、加强饮食的护理和出院指导,这样才能及时发现早产或流产的征兆, 及早处理以保证母婴平安。

Clinical Values of Computer Tomography Examination in Abdominal Cavity Parenchymal Organs Injury

Objective To approach the clinical values of computer tomography (CT) examination technique and imaging features in abdominal cavity parenchymal organs injury. Methods One hundred and fifty-nine patients with abdominal cavity parenchymal organs injury were examined by CT of plain scan and (or) contrast enhancement, the enhancement included arterial phase, parenchymal phase and the kidney scanning delay phase, the results of CT scanning were compared. Results Ninty-eight cases among 159 patients were diagnosed as the abdominal cavity parenchymal organs injury by the CT, the diagnosis accordance rate was 98.1% (156/159) by operation and follow-up, 22 cases were simple viscus damage or back bone and pelvic fracture, 39 cases were negative, the examination positive rate was 75.5% (120/159). Conclusion The CT can display the parenchymal organ traumatic condition, subcapsule hematoma, retroperitoneal hematoma, seroperitoneum and injured grade. It is the first selective examination to use CT scanning in abdominal cavity parenchymal organ damage, and it has important clinic values to use correct scanning techniques in abdominal injury examination.

妇科急诊腹腔镜手术临床分析

【摘要】目的 探讨腹腔镜在妇科急腹症中的临床应用。方法 对2006年8月-2008年12月收治的95例妇科急腹症患者根据不同的病情行腹腔镜手术,观察治疗效果。结果 95例急诊腹腔镜手术全部顺利完成,无一例并发症。结论 应用腹腔镜诊断和治疗妇科急腹症是一种有效、实用、安全的方法。

Application of Emergency Laparoscopy in Surgical Acute Abdomen

目的　探讨腹腔镜技术在急腹症诊治中的作用。方法　回顾性分析笔者所在医院2008年10月至2011年12月期间收治的128例急腹症患者应用腹腔镜技术进行诊治的临床资料。结果　127例均明确诊断，１例十二指肠迟发性破裂腹腔镜探查漏诊，患者2d后因腹痛剧烈而行剖腹探查术，发现为十二指肠破裂， 确诊率为99.2％。103例（80.5％）于腹腔镜下完成手术，11例（8.6％）中转开腹手术，14例经腹腔镜检查明确诊断后行保守治疗。所有手术患者术后无严重并发症发生，全部患者均痊愈出院。平均手术时间为72min （32 ～166min）；平均出血量为125ml （20～230ml）； 平均住院时间为5d （3～12d）。结论　急腹症应用腹腔镜技术是一种十分安全有效的方法，具有诊断治疗一体化、创伤小、恢复快，住院时间短等优点。

Laparoscopic Diagnosis and Treatment for the Acute Abdomen and Abdominal Trauma

Value of Acute Ultrasonography in Diagnosing Right Hypogastric Acute Abdomen

【摘要】　目的　探讨急诊超声在右下腹急腹症诊断中的应用价值。　方法　回顾性分析2008年8月-2009年12月150例右下腹急腹症患者急诊超声检查结果，所有患者均经手术和病理资料或者临床治疗后得到证实，将超声诊断的结果与临床出院诊断进行对比分析。　结果　150例右下腹急腹症患者中，超声正确诊断126例（84%），漏诊18例，误诊6例，其中急性阑尾炎漏诊率最高，漏诊的主要原因为部分患者阑尾解剖位置特殊或者肠道气体干扰。　结论　超声检查能够较准确判断右下腹急腹症的病因。熟悉常见急腹症疾病的临床表现、体征及熟练掌握常见疾病的超声声像图特点，对右下腹急腹症的诊断及鉴别诊断至关重要。【Abstract】　Objective　To evaluate acute ultrasonography in diagnosing right hypogastric acute abdomen.　Methods　The results of acute ultrasonography of 150 patients with right hypogastric acute abdomen were retrospectively analyzed. The disease was confirmed by surgery and pathological examination. The results of ultrasonography and clinical diagnosis were compared.　Results　Among 150 patients, correct ultrasonography diagnosis was found in 126 (84%), missed diagnosis in 18, and misdiagnosis in six; the highest rate of missed diagnosis occurred in patients with acute appendicitis.　Conclusion　Acute ultrasonography can feasibly and accurately diagnose right hypogastric acute abdomen. The accuracy depends on the common clinical manifestations and the common diseases ultrasonography characters of right hypogastric acute abdomen.