汶川地震中迟发性损伤临床特点分析及处理

目的 总结汶川地震中迟发性损伤患者的临床特点及处理。方法 回顾性分析3例地震中迟发性损伤患者的诊治经过。结果 病例1为创伤性迟发性膈疝伴发休克，经及时的诊断和手术处理后康复；病例2为创伤性迟发性肝破裂，经两次手术止血引流后好转；病例3为创伤性迟发性肝破裂，经手术和介入治疗出血减少，并发腹腔感染死亡。结论 在地震伤员救治过程中应高度警惕迟发性损伤，积极合理的处理能降低病人的死亡率。

Clinical features and treatment of patients with late-onset injuries in the 2008 Wenchuan earthquake

Objective To analyze clinical features and treatment of patients with late-onset injuries in the 2008 Wenchuan earthquake. Methods Clinical data of three patients with late-onset injuries were analyzed retrospectively. Results The first patient was compromised with late-onset traumatic diaphragmatic hernia complicated with shock. The second and third patients were suffered from late-onset traumatic hepatic rupture. After prompt surgery operation, the first and second subjects survived. Unfortunately,the third patient died of severe abdominal infection despite successful operation. Conclusion Late-onset organ injuries must be recognized and treated promptly.