摘要
目的总结重度胸部创伤的早期诊断与有效的救治方法。方法对我院急诊外科2000年8月—2006年7月救治的72例重度胸部创伤病例进行回顾性分析。结果本组治愈67例(93·1%),死亡5例(6·9%),其中胸部严重挤压伤入院即刻死亡1例,心脏刀刺伤、胸主动脉刀刺伤、气管断裂、肝脾破裂延误等失血性休克早期死亡各1例。结论严重胸部创伤伤情重,表现复杂.早期全面且正确的诊断与及时有效的处理是减少死亡,提高救治效果的关键。
Objective To explore the early diagnosis and the effective methods for emergent treatment of severe chest trauma. Methods The data of 72 patients with severe chest trauma from August 2000 to July 2006 in surgical emergency department of our hospital were retrospectively analyzed. Results In the study, 67 patients （93.1% ） were cured, and five ones （6.9%） died, in- cluding one who died from severe crush injury in the chest and four who died from hemorrhagic shock due to heart or thoracic aortic pricking, or rupture of spleen or liver or trachea. Conclusion Severe chest trauma is critical condition with complicated clinical manifestation. Early diagnosis and timely treatment are essential to reduce the mortality and improve the prognosis.
出处
《临床军医杂志》
CAS
2007年第2期214-216,共3页
Clinical Journal of Medical Officers
关键词
重度胸部损伤
早期诊断
治疗
thoracic injury
early diagnosis
treatment
