資源描述：
《63例重癥胸、腹部損傷早期救治研究》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、63例重癥胸、腹部損傷早期救治研究【摘要】目的：探討重癥胸、腹部損傷的早期診治方法。方法：收集2006年2月-2010年9月收治63例重癥胸、腹部損傷患者，皆合并不同程度的休克，其中27例經(jīng)胸或腹腔穿刺抽出較多不凝固血,30例經(jīng)螺旋CT檢查確診,6例經(jīng)B超檢查確診,緊急手術(shù)治療60例,3例12h內(nèi)明確診斷后手術(shù)治療。其中胸部損傷15例、腹部損傷31例、胸腹聯(lián)合傷17例。結(jié)果：58例救治成功，救治成功率92%。并發(fā)癥10例，其中膿毒癥1例，多器官功能障礙綜合征(MODS)3例,DIC2例，肺部感染2例，切口感染2例；5例死亡，其中4例
2、于傷后12h內(nèi)死亡，主要原因?yàn)槎嗯K器嚴(yán)重?fù)p傷及失血性休克。結(jié)論:對重癥胸、腹部損傷患者采用創(chuàng)傷急救體系信息化模式化管理,在最短時(shí)間內(nèi)進(jìn)行醫(yī)學(xué)干預(yù)、快速評(píng)估、準(zhǔn)確診斷，對損傷器官針對性的處理;提高生存率、降低致殘率。【關(guān)鍵詞】創(chuàng)傷；胸、腹部損傷；手術(shù)；創(chuàng)傷急救；信息化；模式化AnalysisofEarlyRemedyfor63CasesofSevereThoracicandAbdominaInjuries/JINMing-ya.//MedicalInnovationofChina,2012,9(33):114-115[Abstract
3、]Objective：Toexploreearlymethodsofdiagnosisandtreatmentsforseverethoracicandabdominalinjuries.Method：Throughcollecting63severethoracicandabdominalinjuredpatients,eachwithdifferentdegreeofshockandwerediagnosedandtreatedfromFeb.2006toSep.2010,ofwhich27caseswerediagnosedb
4、ecausemorenosolidifybloodwasdrawnoutthroughthoracocentesisorperitoneocentesis,30casesdiagnosedbyspiralCT,6casesdiagnosedbyB-ultrasound,60casesofemergencysurgicaloperation,3casessurgicaloperatedwithin12hoursafteradefinitediagnosis.Andinthesecases,15caseswerethoracicinju
5、ries,31caseswereabdominalinjuries,17caseswerethoracoabdominalinjuries?Result：58casesweresuccessfullycured,witha92%curerate；10casesdevelopedcomplications,including1Sepsis,3MODS,2DIC,2Pulmonaryinfection,2incisioninfection；5casesdied,ofwhich4casesdiedwithin12hours,because
6、ofseveremultipleorgansdamageandhemorrhagicshock.Conclusion：TheanalysisoftheclinicalcasesshowthatintheshortestpossibletimeimplementingTrauma-emergency-system-managementinformativelyandmodelingtoseverethoracicandabdominalinjuredpatients,conductingmedicalintervention,rapi
7、dassessment,accuratediagnosis,targetedtreatmenttoinjuredorgancanobviouslyincreasethesurvivalrateandreducetherateofdisability.【Keywords]Trauma；Severethoracicandabdominalinjuries；Operation；Emergencytrauma；Informatization；ModeFirst-authorsaddress：NaniinCenterHospitalofTon
8、gshanCounty,Tongshan437612,Chinadoi：10.3969/j.issn.1674-4985.2012.33.072重癥胸、腹部損傷出血兇猛，救治工作必須爭分奪秒，快速準(zhǔn)確控制出血，早期定位診斷相對困難，是
