摘要
目的 探讨以严重胸部创伤为主的全身多发伤的临床特点及其救治。方法 对 4 35例严重胸部创伤的致伤原因、胸部伤及合并伤伤情特点、并发症发生率以及治疗措施进行回顾性分析。结果 本组均为严重胸伤 (AIS 90≥ 3)、总伤势ISS >16者 396例 (91.2 % )。治愈 374例 ,死亡 6 0例 (14 .1% )。结论 胸伤合并全身多发伤的临床特点死亡率高 ,休克发生率高 ,早期诊断漏诊率高 ,并发症多 ,伤情判断复杂 ,应重视合并伤的诊治 ,电视胸腔镜在胸外伤的诊治中具有一定价值。
Objective To discuss clinical characteristics and emergency treatment of severe chest injuries with multiple trauma.Methods Four hundreds and thirty-five cases of severe chest trauma were reviewed retrospectively.The cause of trauma,its clinical characteristics,treatment and rates of complication were analyzed.Results All cases suffered from severe thoracic trauma(AIS-90≥3),and about 91.2% of the patients with ISS>16,three hundreds and seventy-four cases were cured,sixty died(14.1%).Conclusion Thoracic trauma with multiple trauma has high rate of death and shock,and much of complications.It is difficult to be diagnosed and important to treat complications.There has certain value with thoracoscopy in diagnosis and therapy of thoracic trauma.
出处
《重庆医学》
CAS
CSCD
2004年第12期1786-1787,共2页
Chongqing medicine
关键词
胸部创伤
多处创伤
损伤严重度评分
临床分析
thoracic trauma
multiple trauma
injury severity score
clinical features
