中国医药
中國醫藥
중국의약
CHINA MEDICINE
2010年
10期
930-931
,共2页
王飙%郭佳%王剑平%陈志强%吴增安%田进涛%宋小平
王飆%郭佳%王劍平%陳誌彊%吳增安%田進濤%宋小平
왕표%곽가%왕검평%진지강%오증안%전진도%송소평
胸腹联合伤%手术%诊断
胸腹聯閤傷%手術%診斷
흉복연합상%수술%진단
Combined thoracoabdominal injury%Operation%Diagnosis
目的 总结穿透性胸腹联合伤临床特点与早期救治经验.方法 回顾性分析1985年6月至2008年6月经手术证实的46例穿透性胸腹联合伤患者的诊断、治疗及疗效等临床资料.结果 38例行剖胸手术,5例行剖腹手术,2例行剖胸+剖腹手术,1例行胸腹联合切口.治愈44例;死亡2例,其中1例死于心包填塞,1例死于心脏破裂.结论 穿透性胸腹联合伤患者应及早手术,对于伤口位于季肋部的应以开胸探查为主,便于肝、脾脏膈面裂伤修补,减少脾脏切除.
目的 總結穿透性胸腹聯閤傷臨床特點與早期救治經驗.方法 迴顧性分析1985年6月至2008年6月經手術證實的46例穿透性胸腹聯閤傷患者的診斷、治療及療效等臨床資料.結果 38例行剖胸手術,5例行剖腹手術,2例行剖胸+剖腹手術,1例行胸腹聯閤切口.治愈44例;死亡2例,其中1例死于心包填塞,1例死于心髒破裂.結論 穿透性胸腹聯閤傷患者應及早手術,對于傷口位于季肋部的應以開胸探查為主,便于肝、脾髒膈麵裂傷脩補,減少脾髒切除.
목적 총결천투성흉복연합상림상특점여조기구치경험.방법 회고성분석1985년6월지2008년6월경수술증실적46례천투성흉복연합상환자적진단、치료급료효등림상자료.결과 38례행부흉수술,5례행부복수술,2례행부흉+부복수술,1례행흉복연합절구.치유44례;사망2례,기중1례사우심포전새,1례사우심장파렬.결론 천투성흉복연합상환자응급조수술,대우상구위우계륵부적응이개흉탐사위주,편우간、비장격면렬상수보,감소비장절제.
Objective To summarize the clinical features and early management of penetrating combined thoracoabdominal injury. Methods Fourty-six cases of penetrating combined thoracoabdominal wounds approved by surgery from June 1985 to June 2008 were reviewed. Results Emergency thoracotomy was carried out in 38 cases,laparotomy in 5 cases, simultaneous thoracotomy and laparotomy in 2 cases, and thoracoabdominal incision in 1 case. There were 2 deaths of all the cases, 1 in pericardial tamponade and 1 in heart rupture. Conclusions Early surgery should be carried out. If the injury is at hypochondrium, thoracotomy may be appropriate in order to repair liver and spleen with injury in diaphragmatic surface, and to decrease resective rate of spleen.
