摘要
目的探讨胸腹联合伤(combined thoracoabdominal injury,CTI)的诊断及治疗特点。方法回顾总结该院2007年7月-2012年6月经手术证实的胸腹联合伤69例,年龄16-71岁,平均37岁。其中,开放性损伤31例,闭合性损伤38例。49例患者均有不同程度的血胸和或气胸,其中21例合并休克。结果经胸手术42例,剖腹手术17例,剖胸+剖腹7例,胸腹联合切口3例。全组损伤严重度评分(ISS)为(31.17±9.35)。死亡4例,其中1例死于多器官功能衰竭,3例死于失血性休克。结论胸腹联合伤死亡率高,最常见的死亡原因是失血性休克;手术入路应视具体伤情而定;及早诊断和及时手术是挽救危重患者生命的关键。
【Objective】 To evaluate the diagnosis and clinical treatment features of combined thoracoabdominal injury（CTI）.【Methods】 A retrospective study was carried out in 69 cases（with age range of 16～71 years,mean 37 years） with CTI treated surgically from July 2007 to June 2012.There were 31 cases with penetrating injuries and 38 with blunt injuries.49 cases were associated with pneumothorax and /or hemothorax at various degrees,and 21 cases comp licated with shock.【Results】 In this study,thoracotomy was performed in 42 cases,laparotomy in 17,thoracotomy plus laparotomy in 7 and combined thoraco-laparotomy in 3.The injury severity score in this series was（31.17±9.35）.Four cases were died from hemorrhagic shock（two cases）,pericardial tamponade（one case） and multip leorgan failure（one case）.【Conclusions】 CTI has high mortality rate,and the most frequent cause for mortality is hypovolemic shock.The operative approach is based on individual injury condition.Early diagnosis and timely surgical intervention are keys to improve the cure rate and reducingmortality in severe TCI.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2013年第13期74-77,共4页
China Journal of Modern Medicine
关键词
胸腹联合伤
胸部损伤
多处创伤
combined thoracoabdominal injury
thoracic injuries
multiple trauma
