严重胸部创伤698例治疗体会  

The characteristics and experience of treatment with serious chest for 698 cases

作　　者：方志潮 洪喜鹏 洪文光 

机构地区：[1]广东省潮州市潮州医院外科,521011

出　　处：《福建医药杂志》2005年第4期22-24,共3页Fujian Medical Journal

摘　　要：目的探讨近年严重胸部创伤并全身多脏器损伤的临床特点及救治。方法总结1995年1月至2004年12月我院牧治的严重胸部创伤698例病人的临床资料,按时间分为2000年前(A组)336例,2000年后(B组)362例。对两组的损伤原因、损伤类型、治愈率及并发症发生率进行对比观察。结果A组痊愈319例占95.0%,死亡17例,并发症发生率17.9%;B组痊愈358例占98.9%,死亡4例,并发症发生率8.3%。两组差异有显著性(P<0.05)。结论不同外力作用所致严重胸部创伤并发全身多脏器损伤病情危急,强调早诊断、早治疗,边诊断边对威胁生命的伤情急救,能降低死亡率及并发症的发生。Objective To explore the clinical characteristics of serious chest trauma with multiple organs damage and experience of treatment. Methods The data of 698 cases with serious chest trauma was reviewed and analysed in our hospital from Jan 1995 to Dec 2004. Results The resectability and survival of group B was superior to that of group A （P〈0. 05） . Conclusion Sevious chest and multiple organs damage caused by different outside power is critical illness. The best treatment is to make diagnosis and treat injure earlierly, make the diagnosis and treat the fatal damage meanwhile, which can reduce death-rate and complications.

关 键 词：胸外伤 多脏器伤 救治 治疗体会 

分 类 号：R655[医药卫生—外科学]