摘要
目的 探讨严重多发伤的损伤特点及诊治方法。方法 回顾分析我院救治的 2 37例严重多发伤的临床资料。非手术治疗 1 0例 ,手术治疗 2 2 7例。结果 伤后确诊时间平均 3 .8h ,漏诊率 7.6 %。损伤脏器依次为 :四肢、腹、胸、头等。休克发生率 83 .1 % ,发生脓毒血症 2 3例 (9.7% ) ,急性肺损伤及ARDS 49例 (2 0 .7% ) ,MODS 2 1例 (8.9% ) ,应激性溃疡 52例 (2 2 .4 % )。治愈 1 96例(82 .7% )。死亡 41例 (1 7.3 % )。结论 及时控制出血 ,减轻缺血缺氧损害 ;正确掌握手术时机、及时准确地手术 ;维护重要脏器功能 ,减少内脏并发症是严重多发伤救治的关键环节。
Objective To explore injury characteristics and management for severe multiple trauma. Methods The clinic data of 237 patients with severe multiple trauma treated in our hospital from 1997 to 2002 were analyzed retrospectively. 227cases of which with operative treatment and 10 cases with nonoperative treatment. Results Average time of final diagnosis after injury was 3.8 hours. The rate of missed diagnosis at early stage was 7.6 %. Injured organs were Iimbs, abdomen, chest and head in turn. Incidence of shock was 83.1%, serious sepsis on 23 cases(9.7%), acute Iung injury and ARDS on 49 cases (20.7%), MODS on 21 cases (8.9%) and stress ulcer on 52 cases (22.4%). Of all the patients, 196 (82.7%) were cured, 41 (17.3%) died. ConcIusion The key links in treatment on serious multiple trauma are as follows: Controlling hemorrhage promptly, relieving ischemia and hypoxia, mastering accurately operation occasion and operation methods, maintaining function of the important organs, decreasing complication of internal organs.
出处
《中国煤炭工业医学杂志》
2003年第8期695-696,共2页
Chinese Journal of Coal Industry Medicine
关键词
严重多发伤
损伤特点
诊断
治疗
救治
multiple trauma
emergency treatment
operation
resuscitation
