摘要
1980-1996年初，我院收治胸腹联合伤74例，死亡8例，住院死亡率10．8％。用创伤严重度特征评分法（ASCOT）分析了创伤严重度与死亡率的关系，讨论这些病例的特点及诊治中的问题并提出：1）ASCOT在预测及回顾研究创伤程度与死亡关系方面是一个有用的工具。2）并发症以感染、出血居多；死亡原因以出血为首位。
From 1980 to 1996, 74 thoraco-abdominal injuries caused mainly by knife trauma or traffic accidents were treated in the Bejing Red Cross Chaoyang Hospital. Their chest traumas were mostly hemopnemothorax or rib fractures, and their abdominal injuries involved the liver, stomch or spleen. Eight of the injured died, and the mortality was 10. 8%. The Thoracic Surgery Department of the Hospital used ASCOT (a severity characterization of trauma) to analyse the relations between the severity of injury and the mortality. By applying the ASCOT method, the value of Ps was carefully calculated. Patients with a Ps value lower than 0. 5 died, while those with a Ps value higher than 0. 5 mostly survived. This fact shows that the ASCOT can accurate1y determine the condition of injury and help predict the survival or death of a patient. Therefore, in injury epidemiology and the evaluation of emergency treatment quaility, ASCOT is a useful and valuable method. For most of the cases of thoraco-abdominal injury, an immediate operation should be conducted. An operation on the chest should be confined to strictly limited indications, and that on the abdomen can be conducted with a wider range of indications.Performing an operation through abdomen and/or closed thoracic drainage can cure more than half of the patients.The majority of the postoperative complications are varous kinds of infections and bleeding, while the primary caurse of death is bleeding. Surgeons must be extremely alert to these and thoroughly arrest bleeding during operations. At the same time, effective measures should be taken to prevent infection, such as putting several drainage tubes inside the body to give sufficient irrigation. ARDS should also be prevented carefully.
出处
《急诊医学》
CSCD
1997年第2期83-85,共3页
关键词
胸腹联合伤
创伤严重度
胸部损伤
腹部损伤
临床
Thoraco-abdominal injuries A severity characterization of trauma (ASCOT)
