严重胸部交通伤72例的救治体会

Treatment of severe thoracic injuries in traffic accidents: report of 72 cases

目的分析总结严重胸部交通伤诊断和治疗的特点,提高抢救成功率。方法回顾性分析2006-02～2009-10中收治的交通性严重胸部外伤病人72例的临床资料。结果 65例痊愈出院,死亡7例,死亡率为9.7%(7/72)。其中死于梿枷胸和心脏大血管破裂各1例,失血性休克1例,颅脑严重创伤2例,MODS和脾脏损伤各1例。结论开放严重创伤的急诊-手术绿色通道能有效提高抢救成功率,及早诊断和正确处理重要器官的损伤、维持生命征的稳定是抢救成功的关键。

Objective To analyze the treatment of severe chest injury in traffic accidents was performed. Methods A retrospective analysis of 72 cases of serious chest injury in traffic accidents. Results The mortality was 9. 7% （7/7.2）, 65 cases were discharged and 7 cases were died from Awesome yoga chest, great blood vessels rupture, hemorrhagic shock, severe head trauma, muhiple organ failure and spleen injury, respectively. Conclusion Establishing a efficient green channel and treating the injuries properly are very important to improving the survival of severe thoracic injuries in traffic accidents.