关键词：腹部刺伤；刺伤点；奇数；偶数
【摘要 】 目的 为了避免腹部刺伤后，剖腹探查时刺伤点病灶的遗漏。方法 回顾性分析178例腹壁穿透伤，经剖腹探查证实腹腔器官刺伤点数目是不同的，其计算方法：切线伤、穿透伤、系膜伤、网膜伤的网膜薄已穿透者为两处刺伤点；网膜伤的网膜厚未穿透者，终末伤为一处刺伤点。结果 178例剖腹探查结果的奇数刺伤点135例，占75.8%；无刺伤27例，占15.2%；偶数刺伤点为16例，占9.0%；奇数刺伤点占大多数，与无刺伤、偶数相比较，P<0.01。由于再次剖腹探查证实，无刺伤有7例漏诊，偶数刺伤点患者有6例遗漏，所以真正的奇数点为148例，发生率83.1%。结论 腹部刺伤时腹腔器官刺伤点一般多为奇数，如果剖腹探查为偶数或者为无刺伤时，应想到还有1个隐蔽的刺伤点尚未发现，进一步详尽探查以防遗漏刺伤点病灶。
The clinical value of thenumber of stab wound points in abdominal stab wound
YANG Weiliang, NIE Gang, PEIJianhua, et al. Department of Surgery, Second Affiliated Hospital of Harbin MedicalUniversity, Harbin 150086
【Abstract 】 Objective To study the relationship betweenthe number of stab wound points and abdominal stab wound for purpose in avoiding theomittance of foci of stab wound during abdominal stab celiotomy. Methods In a retrospective analysis of178 abdominal wall penetrative wound, different numbers of stab wound point of celiacorgan were found. The caculating method was as follows: there were two stab wound pointsin tangential wound, penetrative wound, mesenteric wound and thin penetrated omentalwound; there was one stab wound point in terminal wound and thick unpenetrated omentalwound. Results Odd number stab wound points were found in 135 cases (75.8%); nostab wounds were 27 (15.2%); even number stab wound points were 16 (9.0%). The major stabwound point was odd number whose percentage was higher than that of no stab wound and evennumber (P<0.01). Re-celiotomy revealed that there were 7 missing diagnoses in no woundcases and 6 missing diagnoses in even number cases, so accurate cases of odd number were148 (83.1%). Conclusion The stab wound points of celiac organ is mostly odd number. If nostab wounds or even number ones are present in abdominal stab celiotomy, a covered stabwound point should be considered. Further detailed exposure is necessary in order to avoidmissing stab wound points.
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