摘要
目的：总结胸腹联合伤诊断与手术治疗的经验.方法：手术治疗胸腹联合伤患者29例,其中单纯剖胸手术6例,单纯剖腹手术12例,取剖腹＋剖胸两个切口手术9例,胸腹联合切口2例.8例于术前获得诊断,9例于术中探查确诊,2例延迟诊断.结果：29例中,手术治愈25例,术后死亡4例,病死率13.7﹪.结论：胸腹联合伤病情复杂凶险,及时准确的诊断和手术是挽救患者生命的关键,手术入路选择应视具体伤情而定.
Objective ： To summarize the experience of diagnosis and surgery of thoraco-abdominal combined injuries. Methods：29 patients with thoraco-abdominal combined injuries were treated by surgery. Among of them, 6 cases were treated by theracotomy, 12 cases by laparotomy, 9 cases by laparotomy and thoracotomy respectively,2 cases by thoraco-abdominal insision. 8 cases were diagnosed before surgery, 9 cases were diagnosed during operation. There were 2 cases of delayed diagnosis. Resnits：25 cases were cured, 4 cases died （13.7%）. Conclusions： Thoraco-abdominal combined injuries （TCI）are critical condition with complicated clinical manifestations. Early diagnosis and timely treatment are the key to improve the cure rate and reduce mortality in TCI. The operative approach is based on the individual injury condition.
出处
《解剖与临床》
2010年第4期265-267,共3页
Anatomy and Clinics
关键词
创伤
胸腹联合伤
早期诊断
治疗
Trauma
Thoraco-abdominal combined injures（TCI）
Early diagnosis
Treatment
