胸腹联合伤伴失血性休克67例临床分析  

Cinical Analysis of Thoracoabdominal Combined Injury with Hemorrhagic Shock in 67 Cases

作　　者：薛寒[1] 王大鹏[1] 揭红英[1] 

机构地区：[1]泰州市人民医院ICU,江苏泰州225300

出　　处：《泰州职业技术学院学报》2010年第3期21-23,共3页Journal of Taizhou Polytechnic College

摘　　要：目的总结胸腹联合伤67例的抢救治疗经验,以降低死亡率。方法回顾分析67例胸腹联合伤伴失血性休克患者的临床资料,其中车祸37例,高处坠落18例,挤压伤6例,锐器伤6例,均积极抗休克同时手术治疗,其中经单行开胸手术7例,剖胸加剖腹8例,单纯剖腹42例(同时胸腔闭式引流10例)。结果治愈58例,死亡9例(死亡率13.43%)。结论胸腹联合伤伴失血性休克是一种严重的创伤,死亡率高,临床表现复杂,尽快明确诊断,积极抗休克治疗、预防急性呼吸衰竭同时及时合理的手术方法对降低死亡率较为重要。Objective To summarize the experience of rescue and treatment of thoracoabdominal combined injury （TCI） with hemorrhagic shock, in order to cut down mortality rate.Methods A retrospective study was carried out in 67 cases of TCI with hemor- rhagic shock, There were 37 cases of traffic accidents, 18 cases of falling injuries, 6 cases of extrusion injuries, 6 cases of penetrating injuries. Among whom thoracotomy was performed in 7 cases, thoracotomy plus laparotomy in 8 cases, laparotomy in 42（10 cases received close drainage of thoracic cavity）.Results 9 cases （13.43%） were dead.The remaining 58 cases were cured.Conclusions TCI with hemorrhagic shock is a severe trauma with multiple clinical signs and a high mortality. Early diagnosis,positive anti-shock therapy,prevent acute respiratory failure and timely surgical intervention are key to reducing mortality in TCI with hemorrhagic shock.

关 键 词：胸腹联合伤 失血性休克 抢救治疗经验 

分 类 号：R64[医药卫生—外科学]