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目的进一步探讨交通多发伤的诊断和治疗方法,减少误诊和漏诊,提高救治成功率。方法回顾分析2003年～2005年中168例交通多发伤的临床资料及治疗措施。结果全组治愈148例(88.1%),死亡20例(11.9%)。死因分别为失血性休克、脑疝、多器官功能障碍综合征(MODS)。结论⑴多发伤的诊断:要求做到快、准、全。⑵多发伤的临床特点:①各部位的创伤具有不同表现和危险性;②休克发生率高;③感染发生率高;④易发生MODS。⑶多发伤的急救要点:重点应放在对失血性休克、急性呼吸功能障碍及脑疝。⑷多发伤救治的手术原则:应在充分复苏的前提下,用最简单的手术方式,最快的速度修补损伤的脏器,减轻伤员的负担,降低手术的危险性,抢救伤员的生命。
Objective To further explore the diagnosis and treatment of traumatic multiple injuries, reduce misdiagnosis and missed diagnosis and improve the success rate of treatment. Methods The clinical data and treatment measures of 168 cases of traumatic multiple injuries in 2003-2005 were retrospectively analyzed. Results The whole group cured 148 cases (88.1%), 20 patients died (11.9%). Causes of death were hemorrhagic shock, hernia, multiple organ dysfunction syndrome (MODS). Conclusions ⑴ diagnosis of multiple injuries: requirements to be fast, accurate, full. ⑵ multi-trauma clinical features: ① various parts of the trauma has different manifestations and risks; ② high incidence of shock; ③ high incidence of infection; ④ prone to MODS. ⑶ multiple injuries first aid points: the focus should be placed on hemorrhagic shock, acute respiratory dysfunction and hernia. ⑷ surgical treatment of multiple traumatic injuries principle: should be fully recovered under the premise of the simplest operation, the fastest speed of repairing damaged organs, reduce the burden on the wounded, reduce the risk of surgery and rescue the lives of the wounded.