中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
8期
46-47
,共2页
外科创伤%急诊%救治
外科創傷%急診%救治
외과창상%급진%구치
Surgical trauma%Emergency%Treatment
目的：探讨严重外科创伤患者的救治措施。方法对134例严重外科创伤患者的损伤类型、救治方法及救治效果进行总结。结果该组患者经床旁B超检查表现阳性66例（90.4%），X线检查表现阳性77例（95.1%），胸腹腔穿刺检查表现阳性50例（86.2%），早期漏诊患者均为胸腹部损伤。患者平均住院时间（28.7±3.7）d，治愈率77.6%，致残率14.9%，死亡率7.5%。结论针对严重外科创伤患者要优先处理危及生命安全的器官损伤，适时应用损伤控制性手术策略，以保证救治的成功率。
目的：探討嚴重外科創傷患者的救治措施。方法對134例嚴重外科創傷患者的損傷類型、救治方法及救治效果進行總結。結果該組患者經床徬B超檢查錶現暘性66例（90.4%），X線檢查錶現暘性77例（95.1%），胸腹腔穿刺檢查錶現暘性50例（86.2%），早期漏診患者均為胸腹部損傷。患者平均住院時間（28.7±3.7）d，治愈率77.6%，緻殘率14.9%，死亡率7.5%。結論針對嚴重外科創傷患者要優先處理危及生命安全的器官損傷，適時應用損傷控製性手術策略，以保證救治的成功率。
목적：탐토엄중외과창상환자적구치조시。방법대134례엄중외과창상환자적손상류형、구치방법급구치효과진행총결。결과해조환자경상방B초검사표현양성66례（90.4%），X선검사표현양성77례（95.1%），흉복강천자검사표현양성50례（86.2%），조기루진환자균위흉복부손상。환자평균주원시간（28.7±3.7）d，치유솔77.6%，치잔솔14.9%，사망솔7.5%。결론침대엄중외과창상환자요우선처리위급생명안전적기관손상，괄시응용손상공제성수술책략，이보증구치적성공솔。
Objective To investigate the treatment measures of patients with severe surgical trauma. Methods Summarize the types of injury, treatment method and treatment effect for the 134 cases of severe surgical trauma. Results 66 cases of bedside B-ultra-sound showed positive (90.4%),77 cases of X-ray examination showed positive(95.1%),50 cases of abdominal cavity biopsy showed positive (86.2%), All the early Misdiagnosis patients were the patients who had abdominal injury. The average length of time was (28.7+3.7)d, The cure rate was 77.6%, The disability rate was 14.9%, The mortality rate was 7.5%. Conclusion The life-threaten-ing organ damage should be treated at first for the patients with severe surgical trauma,Timely application of damage control opera-tion strategy, Ensure the success rate of treatment.
