Clinical analysis of 75 patients with traumatic retroperitoneal hematoma / 中国基层医药

ABSTRACT

ObjectiveTo explore the diagnosis,treatment and prognosis situation of traumatic retroperitoneal hematoma(TRH). Methods The full clinical data of 75 patients with TRH were retrospectively analyzed. Results5 cases of 62 surgical patients died,accounted for surgery patients more than 8.1%.57 cases all cured.Including one for knife led to the rupture of the spleen vessel,abdominal aortic injury,surgery died in hemorrhagic shock,the cumulative loss amounted to 5 000ml;1 case with severe traumatic brain injury,died of a cerebral herniation.The other 3 cases died of cancer and multiple organ failure.13 cases of conservative treatment of all discharged.70 cases were cured,the cured rate was 93.3%. ConclusionMultiple trauma should pay special attention the existence of TRH.When conditions allowed,CT examination should be taken to clear the presence of retroperitoneal hematoma and the presence of abdominal organ injuries,and accurate knowledge of the principles of TRH treatment,strictly control surgical indications and retroperitoneal hematoma detection indication should be grasped to save lives and reduce mortality.