CAJ | 학술논문

目的比较胸腹联合伤(TACI)和胸腹多发伤(TAMI)的临床特点和伤情,以指导创伤的救治.方法 167例胸腹腔脏器同时损伤的患者,根据膈肌是否损伤,分为TACI组和TAMI组,比较两组的损伤情况和临床特点,并应用创伤评分系统进行创伤严重度评估.结果全组死亡16例,总死亡率为9.6%.其中TACI组,死亡5例(14.3%),TAMI组11例(8.3%).胸腹联合伤组与胸腹多发伤组间生理评分RTS、解剖评分中胸部MS差异无统计学意义,但腹部AIS胸腹联合伤组高,GCS胸腹联合伤组高,ISS胸腹多发伤组高,均有统计学意义.结论 TACI和TAMI在临床进程、伤情轻重及治疗结果等方面都有明显的差别,应采取相应的治疗措施,减少并发症,改善预后.
목적 비교흉복연합상(TACI)화흉복다발상(TAMI)적림상특점화상정,이지도창상적구치.방법 167례흉복강장기동시손상적환자,근거격기시부손상,분위TACI조화TAMI조,비교량조적손상정황화림상특점,병응용창상평분계통진행창상엄중도평고.결과 전조사망16례,총사망솔위9.6%.기중TACI조,사망5례(14.3%),TAMI조11례(8.3%).흉복연합상조여흉복다발상조간생리평분RTS、해부평분중흉부MS차이무통계학의의,단복부AIS흉복연합상조고,GCS흉복연합상조고,ISS흉복다발상조고,균유통계학의의.결론 TACI화TAMI재림상진정、상정경중급치료결과등방면도유명현적차별,응채취상응적치료조시,감소병발증,개선예후.
Objective To compare the clinical features and severity of thoracoabdominal combined injuries(TACI) and thoracoabdominal multiple injuries(TAMI) so as to guide the diagnosis and management of trauma. Methods A total of 167 cases of chest trauma complicated by abdominal trauma were reviewed and divided into two groups. Group TACI(132 cases) was associated with diaphragmatic rupture but group TAMI(35 eascs)not. The injury features and the clinical characteristics of both groups were analyzed and the trauma severity of two groups e-valuated by trauma score system. Results The overall mortality was 9.6 %(16/167)of all the cases. The mortality was 14.3% in group TACI (5/35)and 8.3% in group TAMI(11/132). There was no significant difference in revised trauma score(RTS) and thoracic Abbreviated Injury Scale(MS) between the two greups(P> 0.05),but the patients in the TACI group had higher Glasgow Coma Scale(C, CS)and abdominal AIS (P < 0.05), and the patients in the TACI group had higher injury severity scale (ISS) (P < 0.01). Conclusion TACI and TAMI have differ-ence in clinical characteristics,injury severity and treatment results. So it is necessary to take different measurements to reduce the complica-tions and improve the prognosis.