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1、63例重症胸、腹部损伤早期救治研究【摘要】目的：探讨重症胸、腹部损伤的早期诊治方法。方法：收集2006年2月-2010年9月收治63例重症胸、腹部损伤患者，皆合并不同程度的休克，其中27例经胸或腹腔穿刺抽出较多不凝固血,30例经螺旋CT检查确诊,6例经B超检查确诊,紧急手术治疗60例,3例12h内明确诊断后手术治疗。其中胸部损伤15例、腹部损伤31例、胸腹联合伤17例。结果：58例救治成功，救治成功率92%。并发症10例，其中脓毒症1例，多器官功能障碍综合征(MODS)3例,DIC2例，肺部感染2例，切口感染2例；5例死亡，其中4例
2、于伤后12h内死亡，主要原因为多脏器严重损伤及失血性休克。结论:对重症胸、腹部损伤患者采用创伤急救体系信息化模式化管理,在最短时间内进行医学干预、快速评估、准确诊断，对损伤器官针对性的处理;提高生存率、降低致残率。【关键词】创伤；胸、腹部损伤；手术；创伤急救；信息化；模式化AnalysisofEarlyRemedyfor63CasesofSevereThoracicandAbdominaInjuries/JINMing-ya.//MedicalInnovationofChina,2012,9(33):114-115[Abstract
3、]Objective：Toexploreearlymethodsofdiagnosisandtreatmentsforseverethoracicandabdominalinjuries.Method：Throughcollecting63severethoracicandabdominalinjuredpatients,eachwithdifferentdegreeofshockandwerediagnosedandtreatedfromFeb.2006toSep.2010,ofwhich27caseswerediagnosedb
4、ecausemorenosolidifybloodwasdrawnoutthroughthoracocentesisorperitoneocentesis,30casesdiagnosedbyspiralCT,6casesdiagnosedbyB-ultrasound,60casesofemergencysurgicaloperation,3casessurgicaloperatedwithin12hoursafteradefinitediagnosis.Andinthesecases,15caseswerethoracicinju
5、ries,31caseswereabdominalinjuries,17caseswerethoracoabdominalinjuries・Result：58casesweresuccessfullycured,witha92%curerate；10casesdevelopedcomplications,including1Sepsis,3MODS,2DIC,2Pulmonaryinfection,2incisioninfection；5casesdied,ofwhich4casesdiedwithin12hours,because
6、ofseveremultipleorgansdamageandhemorrhagicshock.Conclusion：TheanalysisoftheclinicalcasesshowthatintheshortestpossibletimeimplementingTrauma-emergency-system-managementinformativelyandmodelingtoseverethoracicandabdominalinjuredpatients,conductingmedicalintervention,rapi
7、dassessment,accuratediagnosis,targetedtreatmenttoinjuredorgancanobviouslyincreasethesurvivalrateandreducetherateofdisability.【Keywords]Trauma；Severethoracicandabdominalinjuries；Operation；Emergencytrauma；Informatization；ModeFirst-authorsaddress：NaniinCenterHospitalofTon
8、gshanCounty,Tongshan437612,Chinadoi：10.3969/j.issn.1674-4985.2012.33.072重症胸、腹部损伤出血凶猛，救治工作必须争分夺秒，快速准确控制出血，早期定位诊断相对困难，是
