摘要
目的:总结腹部创伤为主的多发伤的诊治经验。方法:回顾性分析我院(1990～2008)年收治的以腹部创伤为主的多发伤125例临床诊治资料。其中,男94例,女31例;平均年龄39岁。闭合性多发伤98例(78.6%):开放性多发伤27例(21.4%)。结果:入院时ISS评分总的甲均值为21分。所有患者治愈120例,死亡5例,死亡率为4.0%。术前死亡3例,均死于重度出血性休克;术后死亡2例,均死于多器官功能衰竭。术后并发感染8例,胰瘘1例,肠瘘1例,胆漏1例,切口愈合不良3例。结论:腹部创伤为主的多发伤诊要强调抢救先于诊断和治疗;必要的辅助检查、早期诊断与减少漏诊,是提高腹部创伤为主的多发伤者预后及降低死亡率的关键。
Objectlve：To summarize the experience of fundamental injuries of abdomen of multiple injury. Methods：To retrospectively analyze 125 cases of fundamental injuries of abdomen of multiple injury from t990year to 2008 year in our hospital. 125 cases consist of 94 male patient and 31 female patients ,the average age was 39 years old. The closed multiple injury were 98 eases （78.6%）and The open multiple injury were 27 cases （21.4 %）.Results：The average munerical value of ISS was 2t at hospital admission All patients were 120 curative ones and 5 dead ones. The death rate was 4.0%;3 cases of serious hemorrhagic shock were dead before operation and 2 cases of multiple organ failure were dead after operation.The complications were infection after operation （8 eases）, pancreatic leakage （lease）, intestinal leakage （lease）, biliary leakage（lease） and negative wound healing of incision （3 cases）.Conclusion：The salvage before diagnose and treat was emphasized in fundamental injuries of abdomen of multiple injury and necessary auxiliary examination,early diagnose and reduced missed diagnosis were the key point of raising the prognosis of fundamental injuries of abdomen of multiple injury and degrading the death rate.
出处
《中国医药导刊》
2009年第9期1469-1470,共2页
Chinese Journal of Medicinal Guide
关键词
腹部创伤
多发伤
手术
颈后
Injury of abdomen
Multiple injury
Operation
Prognosis
