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胸腹部联合伤的救治进展 被引量:13

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摘要 胸腹部联合伤的伤情复杂严重、诊治困难,而且病死率高。胸腹部联合伤常累及膈肌和胸、腹两大体腔的多个脏器,易发生胸、腹腔急性大出血;肺受压萎陷,纵膈移位,呼吸和循环功能障碍,组织低灌流。胸腹部联合伤伤情发展迅速且危及生命,因此,抢救必须分秒必争,准确无误。据第二次世界大战以来的一般资料统计,严重胸腹联合伤致伤动力经胸腔至腹腔,病死率高达20%;腹部损伤合并下胸部损伤病死率为13%,严重并发症27%~43%。近年来随着影像诊断技术和新材料新技术的发展,尤其是介入或(和)微创外科技术、损伤控制技术在创伤外科领域的应用,
作者 刘中民
出处 《中华急诊医学杂志》 CAS CSCD 2006年第9期778-780,共3页 Chinese Journal of Emergency Medicine
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