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目的总结诊断性腹腔穿刺在外科急腹症和腹部外伤中的应用价值。方法回顾性分析依据腹腔穿刺术作出诊断的92例急腹症及腹部外伤患者的临床资料。结果在92例患者中共进行腹穿115次,除2例经B超诊断为脾被膜下破裂,2例为腹膜后(外)血肿,经保守治疗而愈合外,其余均及时手术并证实诊断,总阳性率达100%,准确率达97.7%。结论诊断性腹腔穿刺术在外科急腹症及腹部外伤诊断中有重要价值,是一种简便、经济、实用、科学的诊治疾病的好方法。
Objective To summarize the value of diagnostic paracentesis in surgical acute abdomen and abdominal trauma. Methods The clinical data of 92 patients with acute abdomen and abdominal trauma diagnosed by paracentesis were retrospectively analyzed. Results A total of 92 patients underwent abdominal paracentesis for 115 times. Except for 2 cases of B-ultrasound diagnosis of rupture of the splenic capsule and 2 cases of retroperitoneal (extra-hepatic) hematoma healed by conservative treatment, the others were timely operated and confirmed the diagnosis. The total positive rate of 100%, the accuracy rate of 97.7%. Conclusion Diagnostic paracentesis is of great value in the diagnosis of acute abdomen and abdominal trauma. It is a convenient, economical, practical and scientific way to diagnose and treat diseases.