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Treatment of abdominal injuries: a report of 522 cases.

OBJECTIVE
To make a summary of the experiences in the treatment of abdominal injuries.


METHODS
A retrospective study was done on 522 cases of abdominal injuries in our department from January 1986 to December 2004.


RESULTS
Of all,382 cases were treated by surgery and 140 by conservative method. Among the surgically treated cases, 347 patients (90.8%) recovered, 35(9.2%) died and 21 had postoperative complications (5.6%). For patients undergoing conservative treatment, 139(99.3%) recovered but one (0.7%) died.


CONCLUSIONS
The severity of abdominal injury and delayed treatment are two key factors leading to death. Surgical procedure is still the main method against alternative abdominal injuries. It is necessary to strictly control the indications in conservative treatment.