医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
12期
47-48
,共2页
胸部损伤%腹部损伤%刀刺伤%休克
胸部損傷%腹部損傷%刀刺傷%休剋
흉부손상%복부손상%도자상%휴극
Chest injury%Abdominal injury%Stabbed%Shock
目的：总结下胸部刀伤伴腹腔脏器损伤的诊断与手术治疗经验。方法回顾性调查分析2012年1月～2014年6月我院手术治疗23例因下胸部刀伤而致腹腔脏器损伤患者资料，并就患者胸部或腹部损伤情况予以切肺、肺修补、切肝、肝修补、切脾、胃肠修补、吻合等相应治疗进行总结。结果21例患者救治成功，2例因失血性休克、多器官功能衰竭等原因死亡。手术时间平均4．2h，输血量平均1850ml，术后住院时间平均15．4d。结论下胸部刀伤致腹腔脏器损伤病情紧急、危重、且较隐匿，容易发生失血性休克而致死亡，应早期明确诊断，迅速有效纠正休克，尽快手术，并根据具体伤情选择手术方案。
目的：總結下胸部刀傷伴腹腔髒器損傷的診斷與手術治療經驗。方法迴顧性調查分析2012年1月～2014年6月我院手術治療23例因下胸部刀傷而緻腹腔髒器損傷患者資料，併就患者胸部或腹部損傷情況予以切肺、肺脩補、切肝、肝脩補、切脾、胃腸脩補、吻閤等相應治療進行總結。結果21例患者救治成功，2例因失血性休剋、多器官功能衰竭等原因死亡。手術時間平均4．2h，輸血量平均1850ml，術後住院時間平均15．4d。結論下胸部刀傷緻腹腔髒器損傷病情緊急、危重、且較隱匿，容易髮生失血性休剋而緻死亡，應早期明確診斷，迅速有效糾正休剋，儘快手術，併根據具體傷情選擇手術方案。
목적：총결하흉부도상반복강장기손상적진단여수술치료경험。방법회고성조사분석2012년1월～2014년6월아원수술치료23례인하흉부도상이치복강장기손상환자자료，병취환자흉부혹복부손상정황여이절폐、폐수보、절간、간수보、절비、위장수보、문합등상응치료진행총결。결과21례환자구치성공，2례인실혈성휴극、다기관공능쇠갈등원인사망。수술시간평균4．2h，수혈량평균1850ml，술후주원시간평균15．4d。결론하흉부도상치복강장기손상병정긴급、위중、차교은닉，용역발생실혈성휴극이치사망，응조기명학진단，신속유효규정휴극，진쾌수술，병근거구체상정선택수술방안。
Objective To summarize the lower chest stab wounds associated with the diagnosis and surgical treatment of abdominal organ injury experience.Methods A retrospective survey analysis in our hospital from January 2012 to June 2014,23 cases of surgical treatment due to the lower chest stab wounds cause abdominal organ injury patient data,and be cut lung damage on the patient's chest or abdomen,lung repair,cut treatment of liver,liver repair,splenectomy,gastrointestinal repair,consistent with the corresponding summary.The results of the successful treatment of 21 patients,two cases of death due to hemorrhagic shock,multiple organ failure and other reasons.The mean operative time 4.2h,the average amount of blood transfusion 1850ml, mean postoperative hospital stay 15.4d.Conclusion lower chest stab wounds caused by abdominal organ injuries urgent medical conditions,critical,and more occult,prone to hemorrhagic shock caused death,should early diagnosis,rapid and ef ective correction of shock,surgery as soon as possible,and to choose surgery program and in accordance with the specific injury.
