腹腔镜技术在救治地震伤员中的应用体会
摘要
目的探讨腹腔镜技术在重大灾伤救治中的应用价值。方法对11例"5.12"地震伤患者进行腹腔镜探查和治疗。其中腹腔镜脾切除1例,肝破裂修补2例,肠穿孔修补1例,横结肠系膜血管结扎止血1例,单纯探查引流3例,中转开腹手术3例。结果11例全部治愈,并发症2例(穿刺孔感染1例,腹腔积液1例)。手术时间为30～150min。结论应用腹腔镜技术救治地震伤员具有明显优越性,但应严格掌握适应证,井根据病情及操作者的能力及时决定是否中转开腹。
引文
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[2]Rub J,Paul A,Dirsch O,et al.Laparoscopic resection of perforated Meckel's diverticulum in a patient with clinical symptoms of acute appendicitis [J].Surg Endose,2002,16(11):1638.
[3]Navsaria PH,Graham R,Nicol A.A new approach to extraperitoneal rectal injuries:Laparoscopy and divevting loop sigmoid colostomy [J].J Trauma,2001,51 (3):532.
[4]Kovac SR.Guidelines to determine the route of hysterectomy [J]. Obstet Gynecol,1995,85:18.
[5]陈敏涵，腹腔镜诊治腹部外伤40例临床分析[J]．腹腔镜外科杂志，2005，10(3)：171．
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