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锐器致胸腹联合伤的临床诊治分析

The Analysis of Diagnosis and Treatment on 35 Patients with Thoraco-abdominal Injury

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【作者】 丘自挺张运忠黄欣章桂喜唐从耀陈朝东

【Author】 QIU Ziting ZHANG Yunzhong HUANG Xin ZHANG Guixi TANG Congyao CHEN Chaodong Surgical Department,Longgang District People’s Hospital in Shenzhen City,Guangdong 518172

【机构】 广东省深圳市龙岗区人民医院外科

【摘要】 目的探讨锐器致胸腹联合伤的诊治规律,以积累经验,服务临床工作。方法收集我院诊治的35例锐器所致胸腹联合伤患者,分析其临床诊断及治疗。结果本组35例患者,治愈32例,治愈率91.43%,死亡3例。死亡原因:失血性休克、多器官功能衰竭及急性呼吸窘迫综合征。结论锐器所致胸腹联合伤病情严重,早期诊治至关重要,有效地处理失血性休克是提高治愈率的关键。

【Abstract】 Objective To explore the clinical diagnosis and treatment of patients with thoraco-abdominal injury by sharp instrument,for accumulating clinical experience and improving their treatment.Methods Retrospective analysis were performed on 35 patients with thoraco-abdominal injury.We analyzed their diagnosis and treatment.Results 32 patients were improved after aborative treatment.The total improvement rate was 91.43%.But 3 cases died because of hemorrhagic shock,multiple organ failure and ARDS.Conclusion Thoraco-abdominal injury are severe illness by sharp instrument.Early diagnosis and treatment will be helpful to improving their prediction,especially by antishock therapy.

【关键词】 胸腹联合伤锐器胸外
【Key words】 Thoraco-abdominal injurySharp instrumentThoracic surgery
  • 【文献出处】 中国现代医生 ,China Modern Doctor , 编辑部邮箱 ,2009年13期
  • 【分类号】R641
  • 【被引频次】4
  • 【下载频次】22
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