对于急性闭合性腹部外伤患者,摆在医生面前的首要任务是先确立是否有腹内脏器(实质或空腔器官)损伤,一旦发现有了损伤,还需决定是否有手术治疗的必要。毫不怀疑,一个有严重出血发生失血性休克和严重腹膜炎症状、体征的病人,急诊手术是最好的选择,而对那些腹部外伤后有某些临床 For patients with acutely closed abdominal trauma, the first priority before a physician is to establish whether there is an injury to the abdominal organ (parenchyma or hollow organ) and to determine if there is a need for surgical treatment if it is found to be impaired. There is no doubt that emergency surgery is the best option for a patient with signs and symptoms of hemorrhagic shock and severe peritonitis who have severe bleeding. However, for those who have had some trauma after abdominal trauma