摘要
目的探讨胸腹联合伤（combined thoracoabdominal injury，CTI）的临床特点和早期救治的经验。方法回顾性分析1985年6月-2005年6月经手术证实的胸腹联合伤49例，年龄16～63岁，平均34岁。其中开放性损伤37例，闭合性损伤12例。49例患者均有不同程度的血胸和（或）气胸，其中23例合并休克。结果经胸手术34例，剖腹手术9例，剖胸＋剖腹5例，胸腹联合切口1例。全组损伤严重度评分（ISS）为30．53±10．80。死亡5例，其中3例死于失血性休克，1例死于心脏压塞，1例死于多器官功能衰竭。结论胸腹联合伤死亡率高，最常见的死亡原因是失血性休克；手术入路应视具体伤情而定；及早诊断和及时手术是挽救危重患者生命的关键。
Objective To evaluate the clinical teatures and early management of combined thoracoabdominal injury （CTI）. Methods A retrospective study was carried out in 49 cases （with age range of 16-63 years, mean 34 years） with CTI treated surgically from June 1985 to June 2005, There were 37 cases with penetrating injuries and 12 with blunt injuries. All cases were associated with pneumothorax and/or hemothorax at various degrees, and 23 cases complicated with shock. Results In this study, thoracotomy was performed in 34 cases, laparotomy in nine, thoracotomy plus laparotomy in five and combined thoraco-laparotomy in one. The injury severity score in this series was 30.53 ±10. 80, Five cases were died from hemorrhagic shock （three cases）, pericardial tampenade （one case） and multiple organ failure （one case）, Conclusions CTI has high mortality rate, and the most frequent cause for mortality is hypovolemic shock. The operative approach is based on individual injury condition. Early diagnosis and timely surgical intervention are key to improving the cure rate and reducing mortality in severe TCI.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2006年第3期186-189,共4页
Chinese Journal of Trauma
关键词
胸部损伤
腹部损伤
多处创伤
Thoracic injuries
Abdominal injuries
Multiple trauma
作者简介
通讯作者：陈志强，电话：010-64308570，Email：czq8065@si-na．com
