Diagnosis and treatment of traumatic retroperitoneal hematoma / 中国普通外科杂志

ABSTRACT

Objective To investigate the early diagnosis and rational treatment of traumatic retroperitoneal hematoma(TRPH). Methods Retrospective analysis was done on the clinical data of 96 cases of TRPH admitted in our hospital in the past 10 years. Results Eighty two patients received operation, of whom,73 combined with other celiac organ injuries.The other 14 patients were treated by non surgery.Two patients combined brain trauma and 1 with hemorrhagic shock died during operation,and 2 died of multiorgan failure postoperatively. Conclusions Early diagonsis depends on clinical appearance, abdominocentsis, B ultrasonography and CT. Operation should be done immediately,if the patient has the following condition(1)apparant hemorrhagic shock after blunt trauma;(2) comfirmed celiac viscera trauma or blood vessel trauma;and (3)retroperitoneal hematoma caused by penetric trauma. Kidney surrounding hematoma or hematoma in pelvis area needs no immediate operation.