After analyzing 15 clinical case, 2 of which is especially representative, about perforating injury at the areaintegrates thoracic and abdominal cavities in our hospital from Jan. 1988 to Aug. 2001, the writers have s...After analyzing 15 clinical case, 2 of which is especially representative, about perforating injury at the areaintegrates thoracic and abdominal cavities in our hospital from Jan. 1988 to Aug. 2001, the writers have summarized some therapyon it. First, to avoid delaying surgery operation , those who are injured at that area seriously should be treated with surgeryoperations immediately without X ray and supersonic checks. Second, the positive check results of suspect patients should behelpful for diagnosis, however the negative ones also could not be excluded of the diagnosis clues. The writers think that theconcomitant observation results with the development of illness are most significant. Third, the emphasis of treatments for thoseinjuries should be paid on abdomen. Explore the abdomen is necessary for the situations that abdominal substantial organs bleedand vacuum organs break, thoracic close drainage is sufficient for treating most thoracic trauma cases. It has been improved to beconvenient to check the thoracic cavities by cutting off the diaphragma temporarily if necessary. Fourth, as it was reported that asmany as 97 per cent of patients will have visceral injury dues to abdominal gunshot wound, all gunshot wounds be done with anexploratory laparotomy without hesitation. Fifth, resuscitating of patients as soon as possible is the key to decrease the mortalityand complications. Sixth, acute pancreas injury should be treated as acute pancreatitis.展开更多
文摘After analyzing 15 clinical case, 2 of which is especially representative, about perforating injury at the areaintegrates thoracic and abdominal cavities in our hospital from Jan. 1988 to Aug. 2001, the writers have summarized some therapyon it. First, to avoid delaying surgery operation , those who are injured at that area seriously should be treated with surgeryoperations immediately without X ray and supersonic checks. Second, the positive check results of suspect patients should behelpful for diagnosis, however the negative ones also could not be excluded of the diagnosis clues. The writers think that theconcomitant observation results with the development of illness are most significant. Third, the emphasis of treatments for thoseinjuries should be paid on abdomen. Explore the abdomen is necessary for the situations that abdominal substantial organs bleedand vacuum organs break, thoracic close drainage is sufficient for treating most thoracic trauma cases. It has been improved to beconvenient to check the thoracic cavities by cutting off the diaphragma temporarily if necessary. Fourth, as it was reported that asmany as 97 per cent of patients will have visceral injury dues to abdominal gunshot wound, all gunshot wounds be done with anexploratory laparotomy without hesitation. Fifth, resuscitating of patients as soon as possible is the key to decrease the mortalityand complications. Sixth, acute pancreas injury should be treated as acute pancreatitis.
