严重胸部创伤147例救治体会  

Experiences in successful rescue and treatment of 147 patients with serious thoracic trauma

作　　者：高宗礼[1] 唐洁[2] 陆建平[1] 

机构地区：[1]上海交通大学附属上海市第六人民医院心胸外科,200233 [2]上海交通大学附属上海市第六人民医院呼吸内科,200233

出　　处：《河北医药》2003年第11期809-811,共3页Hebei Medical Journal

摘　　要：目的　分析 3年来我院收治严重胸部创伤的病例特点 ,围绕其院内死亡原因总结成功救治经验及体会。方法　将 14 7例严重胸伤构成比及住院病死率之关系 ,对伤后常见致死原因失血性休克 ,成人呼吸窘迫综合症和多系统器官衰竭等进行分析。结果　全组生存 13 5例 ,死亡 10例 ,住院病死率 6.8% ,住院早期死亡原因以失血性休克为主 ,晚期死亡原因多为成人呼吸窘迫综合征 (ARDS)和多系统器官衰竭 (MSOF)。结论　严重胸部创伤 ,急诊救治的时限是有重要意义。应针对胸部外伤特点 ,围绕严重胸伤常见的致死原因 ,进一步改进急救和后续处理 ,降低病死率。Objective To analyse the characteristics of serious thoracic trauma patients hospitalized in our hospital in last three years and to summarize the experiences in successful rescue and treatment.Methods The correlation between the constituent ratio of 147 patients wih severe thoracic trauma and total hospitalized mortality rate was analysed,including hemorrhagic shock, adult respiratory distress syndrome (ARDS),mltiple systems and organ failure (MSOF).Results 135 patients survived and 10 patients died.The hospitalized mortality rate was 6.8%.The early hospitalized death was mainly caused by hemorrhagic shock, while the later death by ARDS and MSOF.Conclusion The time limit of emergent rescue and treatment is significant for severe thoracic trauma.It is nessesary to improve the emergent management and surgical treatment according to the characteristics of thoracic trauma and common causes of death in order to reduce the mortality rate further.

关 键 词：胸部 创伤 救治 成人呼吸窘迫综合征 多系统器官衰竭 

分 类 号：R641[医药卫生—外科学]