以严重胸腹伤为主的多发伤的急诊救治

Emergent Rescue of Severe Multitrauma of Thorax and Abdomen:A Retrospective Evaluation

目的:评价以严重胸腹伤为主的多发伤的救治经验。方法:对846例严重胸腹伤为主的多发伤患者的临床资料进行回顾性分析。结果:经系统而有重点的检查和积极的抢救,本组846例患者在急诊科死亡106例,病死率12.5%;收入院740例,急诊手术692例,死亡96例,病死率13.9%,其中237例极度危重患者采用损伤控制外科技术,死亡41例,病死率17.3%。结论:及时正确的诊断是救治的前提,提高早期诊断率、合理应用限制性液体复苏和损伤控制外科技术、积极防治并发症,是提高严重胸腹伤为主的多发伤生存率及降低死亡率的关键。

Objective To evaluate the emergent rescue for severe Multitrauma of Thorax and Abdomen and the effect of emergent rescue on outcome. Methods The outcomes of 846 patients suffering from severe multiple traumas of thorax and abdomen were retrospectively analyzed. Results Patients were graded according to severity of trauma and actively treated by limited fluid resuscitation, damage control surgery, and prevention of complication, according to their conditions. One hundred thirty-seven cases died in the department of emergency among 846 cases, the mortality was 12.5 percent. Emergent operations were performed on 692 cases in 740 inpatients,96 patients died during or after operation,the operation mortality was 13.9 percent. Two hundred thirty- seven critically ill cases were treated by damage-control-surgery,41 cases dled,the mortality for these patients was 17.3 percent. Conclusion The early diagnosis and the prompt comprehensive treatment are critical to increase survival rate for severe multiple traumas of thorax and abdomen.