摘要
目的:减少严重胸腹联合伤病人的并发症,提高临床治愈率。方法:严重胸腹联合伤的12例病人于伤后2～20h急诊行开腹手术,腹腔闭式引流术。结果:同时行气管切开术的8例病人治愈7例,死亡1例为合并严重颅脑损伤者。术后第2日行气管切开者2例因气道阻塞,窒息至植物状态。结论:对严重胸腹联合伤的病人,术后立即行气管切开术,有助于防止因气道阻塞而窒息,并发感染,甚至继发ARDS,放宽此类病人的气管切开指征,有助于术后气道内分泌物的清理,呼吸机的及时应用有利于提高治愈率。
Objective To for decrease the complication of serious combined thoraco-abdominal wound and improve clinical healing rates . Methods Emergency abdomen-operation and abdominal cavity closed drainage for 10 serious combined thoraco-abdominal wound paitents in 2-20h. Results Cases were cured, 1 died because of craniocerebral injury complicated. The other 2 paitients carried Out tracheotomy for artificial airway improve and became vegetative state for apnoea because of airway obstruction 2 days later. Conclusions For paitents of serious combined thoraco-abdominal wounds,earlier applicatiou of tracheotomy should be conduced to prevent apnoea because of airway obstruction,concurrence infection, even succeeded ARDS. and loosening the indication of tracheotomy for this kind of paitents may help to clear secretion in airway,and using breathing machine in time help to improve healing rate.
出处
《安徽卫生职业技术学院学报》
2006年第6期29-29,47,共2页
Journal of Anhui Health Vocational & Technical College
