外伤性脾破裂合并失血性休克在胸腹联合伤患者中的临床治疗  

Analysis of clinical treatment of traumatic splenic rupture combined with hemorrhagic shock in patients with thoracic abdominal injury

作　　者：叶飞[1] YE fei(Department of Generalsurgery of Central Hospital of Huludao, Liaoning 125000, China)

机构地区：[1]葫芦岛市中心医院普外科,辽宁125000

出　　处：《社区医学杂志》2016年第22期20-21,81,共3页Journal Of Community Medicine

摘　　要：目的研究外伤性脾破裂合并失血症休克、胸腹损伤患者的临床治疗效果。方法选择2013年7月—2015年7月进行外伤性脾破裂合并失血症休克、胸腹损伤治疗的58例患者为观察组,选择同期治疗的58例外伤性脾破裂患者为对照组,排除失血性休克、胸腹损伤以及其他复合伤,比较两组治疗效果、手术情况及术后并发症,所得数据采用SPSS20.0进行统计学分析。结果观察组总有效率(93.10%)低于对照组(100.00%);观察组出血量、手术时间、住院时间、动脉收缩压波动、低血压持续时间以及格拉斯评分均显著高于对照组;并且观察组并发症发生率为24.14%(14/58),显著高于对照组的3.45%(2/58),上述指标比较差异均有统计学意义(均P<0.05)。结论外伤性脾破裂合并失血症休克伴有胸腹损伤的概率非常大,临床上需要根据实际情况实施及时、有效的手术,降低术后并发症的发生率以及保证患者术后的生活水平。Objective To study the clinical therapeutic effect of the traumatic splenic rupture combined with hemorrhagic shock and thoracic abdominal injury. Methods From July 2013 to July 2015 for traumatic splenic rupture in the treatment of 58 cases of hemorrhagic shock, thoracic and abdominal injury patients as the observation group, select 58 cases of traumatic spleen rupture were the same treatment as the control group, excluding hemorrhagic shock, chest injury and other injury, and the surgical treatment effect, two group of complications, the data were statistically analyzed by SPSS20.0. Results The total effective rate of the observation group（93.10%） was lower than in the control group（100%）; the amount of bleeding in the observation group, operation time, hospitalization time, blood pressure fluctuations, the duration of hypotension and Glass scores were significantly higher than those of the control group; and the complication rate of the observation group was 24.14%（14/58）, significantly higher than the control group（3.45% 2/58）, the differences were statistically significant（P〈0.05）. Conclusion The possibility of traumatic splenic rapture combined with hemorrhagic shock accompan,ted hythoracia abdominal injury is large, the clinical need to implement timely and effective operation according to the actual situation, reduce the incidence of postoperative complications and ensure the patients living standard.

关 键 词：外伤性脾破裂 失血症休克 胸腹损伤 手术治疗 

分 类 号：R656[医药卫生—外科学]