| 严重胸部创伤早期诊断与救治 |
| |
| 引用本文： | 胡爱民,关小宏,秦斌,商玉兰,张文,张世杰,张中东.严重胸部创伤早期诊断与救治[J].第四军医大学学报,2006,27(9):804-806. |
| |
| 作者姓名： | 胡爱民 关小宏 秦斌 商玉兰 张文 张世杰 张中东 |
| |
| 作者单位： | 解放军空军总医院,北京,100036 |
| |
| 摘 要： | 目的:总结严重胸部创伤的早期诊断与有效的救治方法. 方法: 对我院急诊外科2000-08/2005-07救治94例严重胸部创伤病例进行回顾性分析. 结果: 本组治愈86例(91.5%),死亡8例(8.5%),其中胸部严重挤压伤入院即刻死亡2例,心脏刀刺伤、胸主动脉刀刺伤、气管断裂、肝脾破裂延误等失血性休克早期死亡各1例,严重感染致多器官功能衰竭(MOF)后期死亡2例. 结论: 严重胸部创伤伤情重,表现复杂,早期全面且正确的诊断与及时有效的处理是减少死亡,提高救治效果的关键.
|
| 关 键 词： | 胸部损伤 早期诊断 治疗 |
| 文章编号： | 1000-2790（2006）09-0804-03 |
| 收稿时间： | 2005-12-13 |
| 修稿时间： | 2006-01-16 |
Early diagnosis and emergency treatment of severe chest trauma |
| |
| HU Ai-Min,GUAN Xiao-Hong,QIN Bin,SHANG Yu-Lan,ZHANG Wen,ZHANG Shi-Jie,ZHANG Zhong-Dong.Early diagnosis and emergency treatment of severe chest trauma[J].Journal of the Fourth Military Medical University,2006,27(9):804-806. |
| |
| Authors: | HU Ai-Min GUAN Xiao-Hong QIN Bin SHANG Yu-Lan ZHANG Wen ZHANG Shi-Jie ZHANG Zhong-Dong |
| |
| Institution: | Emergency Department, Air Force General Hospital of Chinese PLA, Beijing 100036, China |
| |
| Abstract: | AIM: To explore the early diagnosis and the effective methods for emergency treatment of severe chest trauma. METHODS: The data of 94 cases with severe chest trauma from August 2000 to July 2005 in emergency surgical department of our hospital were retrospectively analyzed. RESULTS: In this group, 86 (91.5%) cases were cured and 8 cases died (8.5%), including 2 who died from severe crush injury in chest, 4 from hemorrhagic shock due to heart or thoracic aortic pricking, or rupture of spleen and liver or trachea and 2 from severe infection at the end stage of multiple organ failure respectively. CONCLUSION: Severe chest trauma is critical condition with complicated clinical manifestations. Early diagnosis and timely treatment are essential to reduce mortality and improve the prognosis. |
| |
| Keywords: | thoracic injury early diagnosis treatment |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
