多发伤的特征及早期救治探讨  

Investigation of characteristics and early treatment of multiple traumas

作　　者：宋斌[1] 胡海波[1] 王怀云[1] 王剑火[1] 

机构地区：[1]南京军区福州总医院95临床部,福建莆田351100

出　　处：《东南国防医药》2012年第6期491-493,共3页Military Medical Journal of Southeast China

基　　金：福建省科技计划项目(2009Y01010779)

摘　　要：目的总结多发伤患者的临床特征及其防治对策,探讨严重多发伤时损伤控制外科应用的可行性和疗效。方法对严重多发伤322例的受伤原因、时间、并发症发生率及病死率等资料进行分析。结果本组抢救成功303例(94.1%),死亡19例(5.9%),发生并发症54例(16.8%),其中成人呼吸窘迫综合征16例,弥散性血管内凝血8例,多器官衰竭9例,腹腔室间隙综合征3例,感染18例。结论多发伤患者具有伤情重、易漏诊的特点,应用损伤控制的方法处理可以降低病死率,减少并发症,提高救治成功率。Objective To analyze the features of multiple traumas and its management, and explore the therapeutical effect of damage control surgery for multiple traumas. Methods The clinical data of 322 patients with severe multiple traumas admitted from June 2005 to June 2011 were analyzed retrospectively. These severely injured patients with an injury severity score （ISS） 〉 16 points were included in a retrospective analysis. Data collected for analysis consist of the general characteristic of the multiple traumas patients, mechanism and timing of injury,incidence of complications and mortality. Results 303 of 322 （91%） patients were successfully treated and 19 （5.9%） patients were dead. Complications occurred in 54 （ 16.8% ） cases. The incidences of adult respiratory distress syndrome, diffuse intravascular coagulation, multiple organs dys-function syndrome, abdominal compartment syndrome and infection were 5% （ 16/322 ） , 2.5% （8/322） , 2.8% （9/322） , 1% （3/322） ,5 % （ 16/322 ） , respectively. Conclusion The main clinical characteristics of multiple traumas are severity of injuries, bad prognosis and high incidence of complications, DCS could reduce multiple traumas patients＇ mortality rate and incidence of complications.

关 键 词：多发伤 流行病学 损伤控制外科技术 并发症发生率 

分 类 号：R649.9[医药卫生—外科学]