锐器致胸腹联合伤的临床诊治分析

The Analysis of Diagnosis and Treatment on 35 Patients with Thoraco-abdominal Injury

目的探讨锐器致胸腹联合伤的诊治规律,以积累经验,服务临床工作。方法收集我院诊治的35例锐器所致胸腹联合伤患者,分析其临床诊断及治疗。结果本组35例患者,治愈32例,治愈率91.43%,死亡3例。死亡原因:失血性休克、多器官功能衰竭及急性呼吸窘迫综合征。结论锐器所致胸腹联合伤病情严重,早期诊治至关重要,有效地处理失血性休克是提高治愈率的关键。

Objective To explore the clinical diagnosis and treatment of patients with thoraco-abdominal injury by sharp instrument,for accumulating clinical experience and improving their treatment. Methods Retrospective analysis were performed on 35 patients with thora-co-abdominal injury. We analyzed their diagnosis and treatment. Results 32 patients were improved after aborative treatment. The total improvement rate was 91.43%. But 3 cases died because of hemorrhagic shock,multiple organ failure and ARDS. Conclusion Thoraco-abdominal injury are severe illness by sharp instrument. Early diagnosis and treatment will be helpful to improving their prediction, especially by antishock therapy.