严重腹部创伤56例临床分析

Clinical Analysis of 56 Patients with Severe Abdominal Trauma

目的:总结严重腹部创伤患者在急诊ICU(EICU)进行观察和救治的体会。方法:回顾性分析2006年1月至2008年12月我院EICU治救的56例严重腹部创伤患者的临床资料。结果:不伴多发伤的24例患者中AIS≥3分(重伤)24例,其中≥4分(严重伤)17例,≥5分(危重伤)5例;合并多发伤的32例中ISS≥16分(重伤)26例,其中25>ISS≥20分(严重伤)5例,≥25分(危重伤)9例;21例出现腹腔间隙综合征(ACS)。结论:对严重腹部创伤患者应常规进行AIS-ISS评估和IAP监测,以客观判断病情,及时发现ACS并予以纠正,以减少并发症,提高治愈率。

Objective: To study the means of the treatment and observing of abdominal trauma patients in emergency ICU (EICU). Methods: The clinical data of 56 patients with severe abdominal trauma saved in the EICU were analyzed from Jan 2006 to Dec 2008. Results: AIS≥3 of all 24 cases of patients only with abdominal trauma, and AIS≥4 of 17 cases,AIS≥5 of 5 casesamong them. For 32 cases of patients with abdominal trauma companied with other wounds, ISS≥16 of 26 cases, 25>ISS ≥ 20 of 5 cases,ISS≥25 of 9 cases. There were 21 cases totally of ACS occurred among the 56 cases. Conclusion: AIS-ISS evaluation and IAP monitoring should be routine for patients with serious abdominal trauma, thus objective judgment for the victim's condition can be done, and the timely detection of abdominal compartment syndrome (ACS) , the reduction of complications and the improvement of cure rate as well.