摘要
目的 提高以腹部损伤为主的严重多发伤救治成功率。方法 对 1998～ 2 0 0 2年间救治的以腹部损伤为主的严重多发伤 ,损伤严重度评分 (ISS)大于 16的 81例患者进行回顾性分析。结果 3个或 3个以上部位多发伤 3 6例 ( 4 4.4% )。腹部损伤早期诊断首选B超 ,其对实质脏器伤伴内出血的诊断率达 10 0 %。治愈 77例 ( 95 % ) ,死亡 4例( 5 % ) ,死亡病例平均ISS 41.5 ,明显高于非死亡病例 2 2 .5。结论 以腹部损伤为主的严重多发伤救治的关键在于早期诊断和早期确定性治疗。减少转运和整体救治有利于提高救治成功率。
Objective To enhance the success rate of treatment of abdominal trauma with severe mutiple injuries. Methods 81 patients with the injury seveaity score (ISS) over 16 between 1998 and 2002 were retrospectively analyzed. Results 36 cases (44.4%) had 3 or more sites injuried, abdominal ultrasonography can be used as amain mean in making early diagnosis of abdominal trauma. The accuracy of US in the detection of intraabdominal trauma with hemorrhage was 100%. 77 cases (95%) were cured and 4 cases(5%) died.The average ISS in the died (41.5) was more higher than that in the survivors (22.5). Conclusion The key to the treatment of abdominal trauma with severe mutiple injuries is to diagnosisearly and treat as quickly as possible. To reduce patient's transportation andtreat ment immediately can enhance the success rate of treatment.
出处
《安徽医学》
2003年第5期25-26,共2页
Anhui Medical Journal
