435例严重胸伤为主的全身多发伤临床分析  

Clinical analysis of thoracic injuries with multiple trauma in 435 patients

作　　者：张伟[1] 杨康[1] 廖克龙[1] 王明荣[1] 曾会昌[1] 

机构地区：[1]第三军医大学西南医院胸心外科,重庆400038

出　　处：《重庆医学》2004年第12期1786-1787,共2页Chongqing medicine

摘　　要：目的　探讨以严重胸部创伤为主的全身多发伤的临床特点及其救治。方法　对 4 35例严重胸部创伤的致伤原因、胸部伤及合并伤伤情特点、并发症发生率以及治疗措施进行回顾性分析。结果　本组均为严重胸伤 (AIS 90≥ 3)、总伤势ISS >16者 396例 (91.2 % )。治愈 374例 ,死亡 6 0例 (14 .1% )。结论　胸伤合并全身多发伤的临床特点死亡率高 ,休克发生率高 ,早期诊断漏诊率高 ,并发症多 ,伤情判断复杂 ,应重视合并伤的诊治 ,电视胸腔镜在胸外伤的诊治中具有一定价值。Objective To discuss clinical characteristics and emergency treatment of severe chest injuries with multiple trauma.Methods Four hundreds and thirty-five cases of severe chest trauma were reviewed retrospectively.The cause of trauma,its clinical characteristics,treatment and rates of complication were analyzed.Results All cases suffered from severe thoracic trauma(AIS-90≥3),and about 91.2% of the patients with ISS>16,three hundreds and seventy-four cases were cured,sixty died(14.1%).Conclusion Thoracic trauma with multiple trauma has high rate of death and shock,and much of complications.It is difficult to be diagnosed and important to treat complications.There has certain value with thoracoscopy in diagnosis and therapy of thoracic trauma.

关 键 词：胸部创伤 多处创伤 损伤严重度评分 临床分析 

分 类 号：R655.1[医药卫生—外科学]