汶川地震中迟发性损伤临床特点分析及处理  

Clinical features and treatment of patients with late-onset injuries in the 2008 Wenchuan earthquake

作　　者：张中伟[1] 薛欣盛[1] 周琰[1] 康焰[1] 

机构地区：[1]四川大学华西医院ICU,四川成都610041

出　　处：《中国呼吸与危重监护杂志》2008年第4期253-256,共4页Chinese Journal of Respiratory and Critical Care Medicine

摘　　要：目的总结汶川地震中迟发性损伤患者的临床特点及处理。方法回顾性分析3例地震中迟发性损伤患者的诊治经过。结果病例1为创伤性迟发性膈疝伴发休克,经及时的诊断和手术处理后康复;病例2为创伤性迟发性肝破裂,经两次手术止血引流后好转;病例3为创伤性迟发性肝破裂,经手术和介入治疗出血减少,并发腹腔感染死亡。结论在地震伤员救治过程中应高度警惕迟发性损伤,积极合理的处理能降低病人的死亡率。Objective To analyze clinical features and treatment of patients with late-onset injuries in the 2008 Wenchuan earthquake. Methods Clinical data of three patients with late-onset injuries were analyzed retrospectively. Results The first patient was compromised with late-onset traumatic diaphragmatic hernia complicated with shock. The second and third patients were suffered from late-onset traumatic hepatic rupture. After prompt surgery operation, the first and second subjects survived. Unfortunately,the third patient died of severe abdominal infection despite successful operation. Conclusion Late-onset organ injuries must be recognized and treated promptly.

关 键 词：地震 迟发性损伤 肝破裂 

分 类 号：R641[医药卫生—外科学]