Polytrauma with thoracic and/or abdominal injuries: experience in 1 540 cases

高劲谋; 高云瀚; 曾剑波; 王建柏; 何平; 韦功滨; 项震

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Polytrauma with thoracic and/or abdominal injuries: experience in 1 540 cases

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＜正＞Objective:To investigate the early diagnosis and treatment of polytrauma patients with thoracic and/or abdominal injuries. Methods: The data of all polytrauma patients with thoracic and/or abdominal injuries during the past 10 years were studied retrospectively. Results: In the present study, there were 1 540 polytrauma patients, accounting for 65.0% of all 2368 trauma patients. Of these patients, 62.4% were in shock state on admission. The operative rates were 15.0% （181/1206） and 79.9% （612/766） in patients with thoracic and abdominal injury （P＜0.01）, 5.2% （39/758） and 31.7% （ 142/448 ） in patients with blunt and penetrating chest trauma （P＜0.01）. and 72.4% （359/496） and 93.7 % （253/270） in patients with blunt and penetrating abdominal injuries （P＜0.01）, respectively. To deal with abdominal injury, angioembolization was performed in 43 cases, with 42 cured. The overall mortality rate was 6.2%. And in the blunt and penetrating subgroups, the mortalities were 7.9% （75/950） and 3.6% （21/590）, respectively （P＜0.01）. Most patients died from exsanguination. Conclusions: The first "golden hour" after trauma should be grasped, since the treatment in this hour can determine greatly whether the critically-injured victim could survive. Prompt diagnosis and proper treatment contribute more greatly to the survival of the victim than the severity of injury.

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《中华创伤杂志：英文版》 |2006年第2期|108-114|共7页
作者
高劲谋; 高云瀚; 曾剑波; 王建柏; 何平; 韦功滨; 项震;
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作者单位

Department of Traumatology Chongqing Emergency Medical Center Chongqing 400014;

China;

Department of Traumatology Chongqing Emergency Medical Center;

Chongqing 400014;

China;

Department of Traumatology Chongqing Emergency Medical Center;

Chongqing 400014;

China;

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原文格式 PDF
正文语种 chi
中图分类创伤;
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机译：伤口和伤害;多处创伤;胸外伤;腹部损伤;止血;手术;

Polytrauma with thoracic and/or abdominal injuries: experience in 1 540 cases

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