腹部闭合性损伤(英文版)
64页1、Abdominal Injury,Section1 Introduction,Abdominal injury refers to the histological damage and dysfunction caused by different kinds of injuries to the abdomen Abdomen occupy large surface of the total body ,no skeleton to protect it,so abdominal injury is more common. In particular, with the increasing development of modern transportation,the damage is more and more popular . morbidity 0.4-1.8% Mortality 10-20%,The focus and the difficulties of this chapter,Emphasis:(1)Master the first aid, the
2、principles of the early diagnosis and treatment (2)Familiar with the different diagnosis and treatment of the rupture of intestinal ,liver,or spleen,Difficulties 1 is there visceral injury? 2 Which kind of visceral organs has gotten injured? 3 Are there multiple injuries? 4 What do we do with diagnostic difficulties?,Anatomy of the human abdomen, by Ties van Brussel / tiesworks.nl,The classification of the Abdominal injury,1 Open abdominal injuries (Open) Usually caused by sharp object, obvious
3、wound tract, clear injuries, diagnosis is easy and clear. timely and easy handling, the treatment and prognosis is good. (1)Penetrating injury: perforation of the peritoneum are; non-penetrating injuries: even visceral injury (2)Penetrating wound; non-penetrating wound (3)Iatrogenic injury,2 Blunt abdominal injury (Closed) Usually caused by a blunt object, no surface scars, often visceral injury, easily missed, so they have important clinical significance. Identification of serious intra-abdomin
4、al pathology is often challenging,一、Etiology,1、Violence (direct, indirect), fall, collision, impact, squeezing, kicking, punching and so on. 2、Common visceral injury in the order is: Closed injury: spleen, kidney, small intestine, liver, mesentery Open injury: liver, small intestine, stomach, colon, large vessels 3、The severity of the injury depend on mechanism of injury and organ anatomy, pathology, functional status.,Mechanism of injury,The intensity of violence: size, speed, direction Site of
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