中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
25期
58,60
,共2页
胸腹部创伤%休克%血气胸%脏器损伤%呼吸衰竭%治疗
胸腹部創傷%休剋%血氣胸%髒器損傷%呼吸衰竭%治療
흉복부창상%휴극%혈기흉%장기손상%호흡쇠갈%치료
Thoracic and abdominal trauma%Shock%Pneumohemothorax%Organ injury%Respiratory failure%Treatment
目的:探讨胸腹部创伤的临床诊断和治疗方法.方法:收治胸腹部创伤患者 180 例,97 例给予胸腔闭式引流,83例给予开胸或开腹手术,采用AIS-ISS创伤评分法对患者的损伤严重程度进行评估.结果:行胸腔闭式引流术患者评分明显低于开胸或开腹手术患者(P<0.05).治愈165例(91.7%),死亡15例,死亡率8.3%.结论:临床工作中应严密观察胸腹部创伤患者的生命体征及病情变化,临床医师应该及时准确给予相应诊断治疗,是成功救治胸腹部创伤患者的关键.
目的:探討胸腹部創傷的臨床診斷和治療方法.方法:收治胸腹部創傷患者 180 例,97 例給予胸腔閉式引流,83例給予開胸或開腹手術,採用AIS-ISS創傷評分法對患者的損傷嚴重程度進行評估.結果:行胸腔閉式引流術患者評分明顯低于開胸或開腹手術患者(P<0.05).治愈165例(91.7%),死亡15例,死亡率8.3%.結論:臨床工作中應嚴密觀察胸腹部創傷患者的生命體徵及病情變化,臨床醫師應該及時準確給予相應診斷治療,是成功救治胸腹部創傷患者的關鍵.
목적:탐토흉복부창상적림상진단화치료방법.방법:수치흉복부창상환자 180 례,97 례급여흉강폐식인류,83례급여개흉혹개복수술,채용AIS-ISS창상평분법대환자적손상엄중정도진행평고.결과:행흉강폐식인류술환자평분명현저우개흉혹개복수술환자(P<0.05).치유165례(91.7%),사망15례,사망솔8.3%.결론:림상공작중응엄밀관찰흉복부창상환자적생명체정급병정변화,림상의사응해급시준학급여상응진단치료,시성공구치흉복부창상환자적관건.
Objective:To explore the clinical diagnosis and treatment method of thoracic and abdominal trauma.Methods:180 patients with thoracic and abdominal trauma were selected.97 cases were given thoracic drainage.83 cases were given thoracotomy or laparotomy operation.The injury severity of patients was assessed by AIS-ISS trauma score method.Results:The score of patients with thoracic drainage was significantly lower than that of patients with thoracotomy or laparotomy operation(P<0.05).165 cases (91.7%) were cured,15 cases were died,the death rate was 8.3%.Conclusion:In the clinical work,it should closely observe the vital signs and condition changes of patients with thoracic and abdominal trauma,clinicians should timely and accurately give corresponding diagnosis and treatment,which is the key to have successful treatment of patients with thoracic and abdominal trauma.
