以严重胸腹伤为主的多发伤的急诊救治.doc

1 以严重胸腹伤为主的多发伤的急诊救治作者:杨祖清, 付守芝, 张继业, 薛颖, 卜志勇, 李青【摘要】目的: 评价以严重胸腹伤为主的多发伤的救治经验。方法:对 846 例严重胸腹伤为主的多发伤患者的临床资料进行回顾性分析。结果: 经系统而有重点的检查和积极的抢救, 本组 846 例患者在急诊科死亡 106 例, 病死率 %; 收入院 740 例, 急诊手术 692 例, 死亡 96例, 病死率 %,其中 237 例极度危重患者采用损伤控制外科技术,死亡 41 例,病死率 %。结论:及时正确的诊断是救治的前提, 提高早期诊断率、合理应用限制性液体复苏和损伤控制外科技术、积极防治并发症, 是提高严重胸腹伤为主的多发伤生存率及降低死亡率的关键。【关键词】严重胸腹部多发伤; 诊断; 外科治疗 Abstract: Objective To evaluate the emergent rescue for severe Multitrauma of Thorax and Abdomen and the effect of emergent 2 rescue on e. Methods The es of 846 patients suffering from severe multiple traumas of thorax and abdomen were retrospectively analyzed. Results Patients were graded according to severity of trauma and actively treated by limited fluid resuscitation, damage control surgery, and prevention plication, according to thEir hundred thirty-seven cases died in the department of emergency among 846 cases,the mortality was percent. Emergent operations were performed on 692 cases in 740 inpatients , 96 patients died during or after operation,the operation mortality was hundred thirty-seven critically ill cases were treated by damage 拟 control 拟 surgery,41 cases died,the mortality for these patients was percent. Conclusion The early diagnosis and the prehensive treatment are critical to increase survival rate for severe multiple traumas of thorax and abdomen. Key words: