摘要
目的 研究合并重度胸外伤的严重性多发伤的早期有效救治方法与注意问题。方法 通过对 87例多发伤患者的损伤情况与早期 (尤其是 48h内 )抢救治疗措施进行回顾性分析总结。结果 成活 61例 ,死亡 2 6例 (含自动放弃治疗 2例 ) ,总残废率 2 9.89%。其中多发伤行一期手术 3 7例 ,7例死亡 ( 18.92 %)。结论 边抢救边诊断并积极有效的抗休克、尽早手术尤其是行多发伤一期手术、保护各脏器功能。
Objective To investigate the effective methods for treatment of severe chest trauma with multiple organ injury. Methods The injury conditions and the early treatment measures in 87 cases of severe chest trauma with multiple organ injury (especially within 48 h after injury) were analyzed retrospectively. Results Of the 78 patients, 61 patients survived, and 26 died (including 2 patients who abandoned treatment). The total mortality was 29 89%. Primary operation was performed on 37 patients with multiple organ injury, but 7 died (18 92%). Conclusion Diagnosis while rescuing, effective countershock treatment, early operation, protection of visceral functions, and preventive mechanical ventilation may be the important measures to guarantee the success of treatment of severe chest trauma with multiple organ injury.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2004年第18期1684-1685,共2页
Journal of Third Military Medical University
关键词
胸外伤
多发伤
治疗
chest trauma
multiple organ injury
treatment
