摘要
胸腹伤系胸腹多脏器复合损伤,其伤势重,休克发生率高。通过40例严重胸腹伤急症手术治疗,作者认为,迅速补液输血纠正低血容量,改善微循环;胸伤的处理以简单有效为原则,重点在于改善呼吸功能,一般不需开胸手术;腹伤多为肝脾破裂,且易导致休克,应积极施行手术探查。
Thoracoabdominal injuries are usually complicated with the multiple organic injuries and high incidence of shock. Forty patients with severe thoracoabdominal injures are analyzed. The authors favored the immediate infusion of the liquid and blood for correcting the hypovolemia and improving microculation. The treatment of the thoracic injuries and improvement of the respiratory function should be simple and efficient. It is unnecessary to perform a thoracic exploration. Because abdominal injures are often followed by the spleen and liver rapture, the latter is main cause of shock. So it is suggested that abdominal exploration should be performed in time.
关键词
胸腹伤
休克
肝脾破裂
thoracoabdominal injure
shock
liver and spleen rapture
