摘要
目的总结胸腹联合伤临床诊断和治疗方法,提高该病的诊断及治疗水平。方法回顾分析58例胸腹联合伤患者临床资料。结果治愈54例,死亡4例,死亡率6.84%。结论详细询问病史及查体,胸、腹部X平片,CT、胸腹部B超、消化道钡剂造影及钡灌肠造影检查有助胸腹联合伤的诊断。对诊断明确的胸腹合并伤,首先改善呼吸功能,恢复有效循环量,积极做好手术准备。
Objective To summarize the clinical features and surgical management of thoracoabdominal multiple injuries（TAMI） so as to improve the diagnoses and treatments of the disease. Methods A retro-spective study was carried out on 58 cases of TAMI treated surgieally. Result 4 cases were dead from hemorrhagic shock, multiple organ failure, and cardiac arrest. The remaining 54 cases were cured. Conclusion TAMI has a high mortality rate. It is necessary to perform all round examination and it is helpful to use x-ray, CT and ultrasonic examination. To the TAMI, the key step is to improve the cardiopulmonary physiology and the patients should be prepared for surgical treatment actively.
出处
《中国实用医药》
2009年第25期27-28,共2页
China Practical Medicine
关键词
胸部创伤
腹部创伤
多处创伤
thoracic injuries
abdominal injuries
multiple trauma
