| 58例创伤性膈肌破裂的临床分析 |
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| 引用本文： | 高伟,白祥军,宋先舟,郑国寿. 58例创伤性膈肌破裂的临床分析[J]. 临床急诊杂志, 2011, 12(4): 223-225 |
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| 作者姓名： | 高伟 白祥军 宋先舟 郑国寿 |
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| 作者单位： | 华中科技大学同济医学院附属同济医院创伤外科,武汉,430030 |
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| 摘 要： | 目的:总结创伤性膈肌破裂的临床特点及诊治经验.方法:58例患者分为闭合伤组和穿透伤组,分析患者临床资料,并运用多种创伤评分法,进行损伤严重程度的评估.结果:闭合性膈肌破裂常并发全身多发伤,病情复杂,漏诊率(35.7%)及死亡率(21.4%)高;开放性损伤病情进展快,早期易出现失血性休克,但诊断较明确,预后好.比较两组的创伤评分,其中创伤严重度评分(ISS),改良创伤评分(RTS)及胸部简明创伤评分(AIS),两组间差异无统计学意义(P>0.05),但闭合伤组患者的格拉斯哥昏迷评分(GCS)和腹部简明创伤评分(AIS)较低(P<0.05).结论:闭合性和开放性膈肌破裂在损伤机制、临床表现、诊断方法上存在明显的差异,临床上应针对损伤的不同类型,采取相应的诊断措施,提高救治率.而合理运用各种方法进行损伤严重度评分,有助于判断预后,评价救治水平.
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| 关 键 词： | 创伤 膈肌 分析 |
Clinical assessment in 58 patients with traumatic rupture of diaphragm |
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| GAO Wei,BAI Xiangjun,SONG Xianzhou,ZHENG Guoshou. Clinical assessment in 58 patients with traumatic rupture of diaphragm[J]. Journal of Clinical Emergency Call, 2011, 12(4): 223-225 |
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| Authors: | GAO Wei BAI Xiangjun SONG Xianzhou ZHENG Guoshou |
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| Affiliation: | GAO Wei BAI Xiangjun SONG Xianzhou ZHENG Guoshou(Department of Traumatic surgery,Tongji Hospital Tongji Medical College of Huazhong University of Science and Technology,Wuhan,430030,China) |
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| Abstract: | Objective:To summarize the clinical characteristics,diagnosis and treatment in traumatic rupture of diaphragm. Method:Clinical data of 58 cases was analyzed,which was divided into blunt injury group and penetrated injury group. Severity was evaluated with trauma score. Result:Patients with blunt injury always combined with systemic injury. The complex situation resulted in more misdiagnosis(35.7%) and higher mortality(21.4%) . Though patients with penetrated injury usually accompanied with shock at early st... |
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| Keywords: | trauma diaphragm assessment |
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