多发伤中的腹部伤  

Abdominal Injuries in Multiple Trauma

作　　者：白涛[1] 姜法文[1] 许武楚 薛奎生 周继舜 

机构地区：[1]广州军区总医院 [2]解放军157医院 [3]解放军177医院 [4]解放军197医院

出　　处：《中华创伤杂志》1986年第3期136-139,共4页Chinese Journal of Trauma

摘　　要：本文报导以腹内伤为主的多发伤46例,对其早期复苏、诊断、处理和处理顺序进行了分析探讨。This paper reports 46 cases of abdominal injuries complicated by multiple trauma, with an average injuried region of 2.4 and an overall mortality 15.21%.Of these, exclusive of abdominal injuries, 11 were of head injury, 18 of chest injury and 37 of bone fracture Traffic accident was the commonest cause of these injuries By clinical experience, the author proposes the diognostic criteria of multiple trauma. The key factor to manegetttent of multiple trauma is to practice resuscitation as promptly as possible. In the early stage of resuscitation, clear airway and adequate pulmonary ventilation must be ensured Double passage for intravenous infusion must be established to supplement the blood volume and to supervise cardiopulmonary function Experience in this article shows that underestimation of the amount of blood loss in the early stage is usttally the main cause of failure in treating multiple trauma Accurate appraisal of the severity of the injuries and the general condition of the wounded can correctaly establish the priorities for definitive therapy.

关 键 词：多发伤 腹部伤 脊椎骨折 血气分析 血容量 静脉通道 

分 类 号：R656[医药卫生—外科学]