【摘 要】 目的:探讨腹腔穿刺在闭合性腹部损伤诊断中的临床意义。方法:对2002年元月至2008年12月收治的80例闭合性腹部损伤患者行诊断性腹腔穿刺,对腹腔穿刺阴性又高度怀疑腹腔脏器损伤者,行腹腔灌洗。结果:腹腔穿刺阳性74例,其中4例行腹腔灌洗。结论:腹腔穿刺抽出不凝血液,考虑为实质性脏器损伤或肠系膜血管损伤,如为凝血则为穿刺针误入血管或血肿;如有气体逸出、穿刺液化验以脓白细胞为主,为空腔脏器损伤,淀粉酶升高者,考虑为胰腺损伤。

    【关键词】 闭合性腹部损伤 腹腔穿刺 腹腔灌洗

    The Clinical Significance of the Abdominocentesis in the Diagnosis of the Closed Abdominal Injury

    Meng Yuxin

    【Abstract】 Objective:To inquire the clinical scghificance of the abdominocentesis in the diagnosis of the closed abdominal injury.Methods:To perform diagnostic abdominocentesis to the 80 patients of closed abdominal injury received from Jan.2002 to Dec.2008, and perform abdominal lavage to the patients of negative abdominocentesis and highly suspicious abdominal viscera injury.Result:There were 74 patients of positive abdominocentesis, and 4 of which received abdominal lavage.Conclusion:If any blood isnt conglomeration when abdominocentesis is performed, the patient should be considered to be of essential abdominal injury or mesentery blood vessel injury; the puncture probe may injure the blood vessel or hematoma accidentally if there is coagulation; the patient might be of cavity viscera injury, if any gas runs off and the majority of the puncture liquid is leukocyte and pus cell; the patient may be thought to be of pancreas injury if the amylase goes up. ......