胸腹联合伤33例救治
胸腹联合伤,,创伤；,胸腹联合伤；,膈肌损伤,临床资料,结果,讨论,参考文献：
摘要： 目的 探讨提高胸腹联合伤的早期诊断和治疗成功率的方法。方法 回顾性分析1997年1月～2004年7月收治33例胸腹联合伤的临床资料。结果 本组33例中，1例经伤道探查确诊，3例胸片发现膈疝确诊，3例剖胸探查确诊，其余为剖腹探查确诊。3例合并严重休克及颅脑损伤死亡，4例术后发生胆漏和膈下感染，经治疗后痊愈，其他患者经治疗顺利康复，随访至今肺功能无减退。结论 诊断的及时准确和手术入路的正确选择影响患者的预后。关键词： 创伤； 胸腹联合伤； 膈肌损伤
Diagnosis and treatment of thoracoabdominal combined injuries in 33 cases
ZHAO Shanhong,GAO Jinmou,WEI Gongbin
(Department of Traumatology,Chongqing Emergency Medical Center,Chongqing 400014,China)
Absbract: Objective To discuss the early diagnosis and treatment of thoracoabdominal combined injures(TCI). Methods To analyze retrospectively the clinical data of TCI in 33 cases from Jan.1997 to Jul.2004. Results In 33 cases,1 case was diagnosed by exploration of the wound tract,3 cases were diagnosed by X rays,3 cases were diagnosed by thoracotomy,and all of the others were diagnosed during operation for the indication of exploratory laparotomy. Three cases died of the associated severe shock and craniocerebral injury,while 4 cases sustained bile leakage and subphrenic infection post operation,which healed after proper treatment. The others recovered smoothly. Conclusion Whether or not the diagnosis is immediate and appropriate makes a profound influence on the prognosis of the patients. Correct choose of the operative approach is also very important. ......
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