严重胸部创伤早期诊断与救治  

Early diagnosis and emergency treatment of severe chest trauma

作　　者：胡爱民[1] 关小宏[1] 秦斌[1] 商玉兰[1] 张文[1] 张世杰[1] 张中东[1] 

机构地区：[1]解放军空军总医院,北京100036

出　　处：《第四军医大学学报》2006年第9期804-806,共3页Journal of the Fourth Military Medical University

摘　　要：目的:总结严重胸部创伤的早期诊断与有效的救治方法.方法:对我院急诊外科200008/200507救治94例严重胸部创伤病例进行回顾性分析.结果:本组治愈86例(91.5%),死亡8例(8.5%),其中胸部严重挤压伤入院即刻死亡2例,心脏刀刺伤、胸主动脉刀刺伤、气管断裂、肝脾破裂延误等失血性休克早期死亡各1例,严重感染致多器官功能衰竭(MOF)后期死亡2例.结论:严重胸部创伤伤情重,表现复杂,早期全面且正确的诊断与及时有效的处理是减少死亡,提高救治效果的关键.AIM： To explore the early diagnosis and the effective methods for emergency treatment of severe chest trauma. METHODS： The data of 94 cases with severe chest trauma from August 2000 to July 2005 in emergency surgical department of our hospital were retrospectively analyzed. RESULTS： In this group, 86 （91.5%） cases were cured and 8 cases died （8. 5% ）, including 2 who died from severe crush injury in chest, 4 from hemorrhagic shock due to heart or thoracic aortic pricking, or rupture of spleen and liver or trachea and 2 from severe infection at the end stage of multiple organ failure respectively. CONCLUSION： Severe chest trauma is critical condition with complicated clinical manifestations. Early diagnosis and timely treatment are essential to reduce mortality and improve the prognosis.

关 键 词：胸部损伤 早期诊断 治疗 

分 类 号：R655[医药卫生—外科学]