title: [Closed abdominal injuries: clinical analysis of 246 cases].
abstract: OBJECTIVE
  To explore the approaches for early diagnosis and effective management of closed abdominal injures.
  
  
  METHODS
  The experience in diagnosis and management of 246 cases of closed abdominal injuries was analyzed.
  
  
  RESULTS
  Of the 246 patients treated in the past 5 years, 221 underwent exploratory laparotomy and 25 received conservative treatment. Altogether 235 patients (95.53%) were cured and 11 died (4.47%).
  
  
  CONCLUSIONS
  Systemic physical examination and early diagnoses are crucial for successful management of closed abdominal injuries. Surgeons should be aware of the importance of early-stage anti-shock treatment and timely surgical management, and the indications and procedures for exploratory laparotomy should be strictly followed.
authors.affiliation: Department of Emergency, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China. whl_yz2004@yahoo.com
authors.forename: Han-liang
authors.initials: HL
authors.lastname: Wang
authors.forename: Xian-fu
authors.initials: XF
authors.lastname: Sang
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged