胸腹联合伤23例临床特点和治疗体会

Clinical Characteristics and Treating Experience of Thoracoabdominal Injury

本文总结了１０年内胸腹联合伤２３例（剖腹手术１５例，剖胸４例，同期分别剖腹和剖胸３例，胸腹联合探查１例）。治愈２１例，死亡２例，死亡率８．７％。急、重、危，损伤器官多，诊断困难，手术处理难度大是胸腹联合伤的特点。对中等量以上的血气胸，麻醉前应先做胸腔闭式引流，手术应以器官损伤严重程度和对生命威胁大小以及缓急决定先后顺序。

This paper reports 23 cases of thoraco-abdomianal in jury treated in teh years, including 15 cases of celiotomy, 4 cases of thoracotomy, 3 cases of celiotomy and thoracotomy, and 1 case of exploration of chest and abdomen, of which 21 cases were cured, and 2 died, morality rate being 8.7%. As several organs are injured, the characteristics of the cases are acuteness, gravity and imminence, and it is very difficult to make diagnosis and perform operations. Anesthesia must follow closed thoracic drainage for moderate hemopneumothorax, and the sequence of operation should be decided according to the gravity of the organs injure and the extent of life-threatening imminence.