胸腹联合损伤的早期诊断与治疗  

Early Diagnosis and Treatment of Combined Thoraco-abdominal Wounds

作　　者：张海蛟 

机构地区：[1]长沙市第七医院外一科

出　　处：《中国现代手术学杂志》2005年第2期155-156,共2页Chinese Journal of Modern Operative Surgery

摘　　要：目的总结胸腹联合伤的早期诊断与治疗体会. 方法对我院1996年8月～2004年8月收治的59例胸腹联合伤病例进行回顾性分析. 结果入院后早期死亡2例,其余57例中行开胸手术22例,胸腔闭式引流+开腹手术30例,同时胸部和腹部切口4例,经胸腹联合切口1例.术后发生成人呼吸窘迫综合征6例,死亡1例.本组治愈55例(93.2% ),死亡4例(6.8%). 结论胸腹联合伤病情重,表现复杂;早期诊断,及时合理治疗是减少死亡,提高救治效果的关键.Objective To explore the early diagnosis and treatment of combined thoraco-abdominal wounds. Method 59 cases of combined thoraco-abdominal wounds admitted from August 1996 to August 2004 were reviewed retrospectively. Result 2 cases died prior to surgery, the rest 57 cases underwent thoracotomy in 22 cases, thoracic close drainage and laparotomy in 30 cases, simultaneous thoracotomy and laparotomy in 4 cases, and combined thoraco-abdominal incision in 1 cases. Adult respiratory distress syndrome occured in 6 cases postoperatively and caused 1 death. The overall cure rate was 93.2%(55/59) and mortality was 6.8%(4/59). Conclusion Combined thoraco-abdominal wounds are critical condition with complicated clinical manifestation. Early diagnosis and treatment is essential to reduce mortality and improve the prognosis.

关 键 词：多处创伤 胸部损伤 腹部损伤 手术引流 开腹手术 腹痛 

分 类 号：R641[医药卫生—外科学]