胸部创伤1000例临床分析

CLINICAL ANALYSIS OF 1000 CASES OF THORACIC INJURIES

作者就1985年1月-1995年1月间经急诊诊治的胸部创伤1000例的临床资料作了统计分析，表明其致伤原因以交通伤为主．其中紧急手术处理136例，包括胸部手术98例，合并伤同时手术38例，结果存活796例，死亡190例，自动出院14例。死亡病例中，多发性损伤占70％（共133例）；现场和转运途中死亡62例（32．6％），死于就诊或手术期者110例（57．8％），住院后死亡18例。鉴于胸伤和其他多发伤的现状，加强公路沿线的创伤急救并建立城市创伤急救中心，对提高创伤存活率和减少致残率将起着十分重要的作用。

Retrospective analysis was performed on the medical records of one thousand patients with thoracic in-juries during one decade periods from Jan. 1985 through Jan. 1995. Traffic accident was identified as a ma jor causeof injuries in this series of cases. of the 1000 injured patients, 136 required emergency surgical treatment 98 weretrented with thoracic operation and 38 with complicated multiple injuries. Results revealed that 796 cases were sur-vival, 190 cases dead and 14 cases fail followed up. Among the dead cases, multiple injuries account for 70%, 62cases died at site or during transportation, 110 cases died during or operations and 18 cases died after hospitaliza-tion. Data from present status suggest that it shonld be necessary to set City Trauma Emergency Centers to in-crease survival rate.