| 严重腹部伤伴多发伤的诊治体会(附46例临床报告) |
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| 引用本文： | 董建,陆仁达. 严重腹部伤伴多发伤的诊治体会(附46例临床报告)[J]. 中国伤残医学, 1999, 0(3) |
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| 作者姓名： | 董建 陆仁达 |
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| 作者单位： | 上海市闸北区中心医院外科 200070(董建)，上海市闸北区中心医院外科 200070(陆仁达) |
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| 摘 要： | 目的:通过本组1997年1月至1998年10月收治的46例严重腹部伤伴多发伤患者,探讨了抢救中诊断与治疗的注意点,从而提高了治愈率。方法:46例病例均按ISS评估均≥16分进行抢救治疗,结果:治愈43例,治愈率93.5％,死亡率为6.5％。死亡主要原因为:失血性休克和多功能脏器衰竭(MOF)。结论:对严重腹部伤伴多发伤要高度重视,及时正确的判断,合理治疗,以降低病死率和并发症。
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| 关 键 词： | 严重腹部伤 多发伤 诊断 治疗 |
Diagnosis and Treatment for Severe Injury of Abdomen Complicated with Multiple Trauma-Report of 46 Cases |
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| Abstract: | Objective: To discuss attentions of diagnosis and treatment in 46 patients with severe abdomen wound accompanied multiple wound, who enrolled from January 1997 to October 1998. The curative rate was increased according to experiences. Methods: The patients were evaluated by ISS assay: all > 16 scores. Results: The curative rate was 93.5%(43/46) and mortality was 6.5(3/46). The main causes of death were shock of loss- blood and MOF. Conclusions: More attentions should be paid to severe abdomen wound accompanied with multiple wounds. Corrective diagnosis and appropriate treatment in time are needed to decrease mortality and complications. |
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| Keywords: | Severe abdomen wound Multiple wound Diagnosis Treatment |
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