胸腹联合伤68例临床分析

目的 探讨胸腹联合伤患者的临床特点,提高诊断及治疗水平.方法 回顾性分析本院6年来收治的68例胸腹联合伤患者的临床特点、诊断、抢救治疗与转归.结果 开胸探查12例,胸腹联合探查8例,剖腹探查+胸腔闭式引流术44例,单纯行胸腔闭式引流3例;治愈63例,死亡5例.结论 胸腹联合伤患者病情急、重,且进展快,诊断应结合全身及局...

Clinical Analysis of Combined Thoraco- abdominal Injuries in 68 Cases

Objective To explore the clinical features of combined thoraco-abdominal injury,in order to improve diagnosis and treatment exprence.Methods A retrospective study was carried out in 68 cases of combined thoraco-abdominal injury teated in our hospital from 2004 to 2010.Its clinical characteristics,diagnosis,treatment and outcome was summaried.Results In this study,thoracotomy was performed in 12 cases,closed drainage of chest with exploratory laparotomy in 44 cases,thoracotomy plus laparotomy in 8 cases,closed drainage of chest in 3 cases;63 cases were cured,5 cases were dead.Conclusion The condition of combined thoraco-abdominal injury is severe with progress quickly.Systemic and local situation should be regarded in clinic,type B ultrasonic、X ray、CT examination were important means in diagnosis.The treatment principal of combined thoraco-abdominal injury must keep respiratory tract unobstructed,maintain effective respiratory and circulatory process.Resistance to shock process,emergency surgery shoud be carried out,which can increase the ratio of successful rescue.