摘要：目的：探讨腹部闭合性损伤的早期诊断的方法。方法：回顾1990年至2003年我院收治156例腹部闭合性损伤的临床诊断资料。结果：156例腹部闭合性损伤病人中，腹腔穿刺诊断率，X线检查诊断率，B超及CT检查诊断率分别是91.3%，38%，84.6%。腹腔镜检查对腹部闭合性损伤诊断是安全，有效的方法。结论：诊断性腹腔穿刺是简单、安全、有效的诊断方法。X线检查，B超及CT检查具有较高诊断价值，但仍有一定误诊率，应结合临床表现及其他辅助检查。对腹部闭合性损伤后怀疑内脏损伤病人，血液动力学基本稳定者，腹腔镜检查将发挥重要作用。

    关键词：腹部损伤；腹腔镜检查；诊断

    The Early Diagnosis of Abdominal closed Injury

    YANG Shao-hua,CHEN Shao-yi,WEN Jun,et al

    (The Second Affiliated Hospital to Shantou University Medical College,Guangdong Shantou 515041, China)

    Abstract： Objective： To make early diagnosis of occlusive abdominal injuries.Method：The clinical date of 156 cases with occlusive abdominal injuries admitted in hospital from 1990 to 2003 were reviewed and analysed. Results：The positive rate of abdominal puncture， X-ray， B type ultrasonography and CT was 91.3%，38% and 84.6% respectively, Laparoscopy in the diagnosis and treatment of occlusive abdominal injuries is accurate, safe and effective.Conclusion：Abdominal puncture is an effective, safe and simple diagnostic method ......