严重多发伤236例抢救分析

Emergency treatment of severe multiple traumas: A report of 236 cases

目的:探讨严重多发伤的早期抢救方法。方法:回顾性分析我院8年间收治的236例严重多发伤病人的临床资料,并提出早期救治中应注意的重点。结果:本组抢救成功205例(86.86%),死亡31例(13.13%),其中24h内死亡14例,发生ARDS18例,应激性溃疡12例,多器官衰竭(MOF)8例。结论:及时手术治疗是抢救成功的关键,合理安排抢救顺序、采取恰当的手术方式等措施对提高患者的生存率及减少并发症至关重要。

Objective： To investigate the early treatment of severe multiple traumas. Methods： The clinical data of 236 patients with severe multiple traumas admitted from June 1996 to June 2005 were analyzed retrospectively. Results： The emergency treatment was successfully performed in 205 of 236 （86.86%） patients. Of 31 died patients, 14 patients died in 24 h. The incidences of ARDS, stress ulcer and multiple organs failure were 7.63% （18/236） , 5.08% （12/236） , 3. 39% （8/236） , respectively. Conclusion： Appropiate surgical management including option of surgical technique and treatment sequence is critical for improving survival rate and reducing complications.