以胸部创伤为主的多发伤救治体会

Treatment of thoracic wounds in poly-trauma patients

目的探讨以胸外伤为主的多发伤的救治策略。方法回顾性分析我科2001年12月～2011年11月收治的59例胸部创伤为主多发伤患者的诊断以及治疗资料。结果本组59例患者,治愈55例,死亡4例。死于创伤性休克、多脏器功能衰竭共2例,死于其他并发症2例。结论胸部创伤为主的多发伤的临床特点为死亡、休克发生率高,早期胸部CT检查可提高诊断率,合理的手术,正确使用呼吸机,积极治疗胸部以外的合并伤可明显降低ARDS和MODS的死亡率。

Objective To discuss treatment of thoracic wounds in poly-trauma patients. Methods A total of 59 poly - trauma patients with thoracic wounds from December 2001 to November 2011 in our hospital were reviewed retrospectively. Resuits Among the 59 patients,55 were cured and 4 died. Of those who died,2 died of traumatic shock and multiple organ dysfunction syndrome （ MODS } , and 2 died of other complications. Conclusion The death and shock rates of thoracic wounds in poly-trauma patients are high. The key to improvement of the prognosis is chest CT examination, suitable operation and appropriate use of ventilator. Early treatment of multiple traumas can effectively decrease the deaths induced by acute respiratory distress syndrome （ARDS） and multiple organ dysfunction syndrome （MODS）.