直接进急诊手术室抢救严重创伤77例

总结１９８９－１９９８年１０年间，直接进手术室抢救严重创伤病的经验。方法充分发挥急诊外科手术的优势，对需紧急手术来挽救生命的严重创伤病人７７例，利用床边检查，明确诊断，在复苏和抗体克的同时及早施行各类手术。本组紧急开颅手术８例，紧急开胸１２例，紧急开腹３０例，血管手术６例，联合手术等２１例。

Management of Critically Injured Patients in Emergancy Operating Room

Objective To evaluate the effects of resuscitation, emergency operation and support treatment on seriously injured patients from 1989 to 1998 in emergency operating room (EOR). Methods There were 77 patients (AIS -ISS score >16) who needed emergency medical serves including basic life support, anti-shock treatment, and surgical interventions. Eight patients received craniotomy, 12 received thoracotomy, 30 laparotomy, 6 vascular operation., 21 multiple-sites operations. Results Among the 18 cases who underwent resuscitation preoperatively or intraoperatively, 10 (55.6%) survived. Twenty-three cases died in operating room or after operation with a total mortality rate of 29.9%. Conclusions Early and prompt surgical treatment in EOR is of beneficial effects on critically injured patients.