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目的:探讨穿透性胸腹联合伤临床特点与早期救治方法及效果。方法:本次研究的95例穿透性胸腹联合伤患者均为我院在2010年1月-2015年3月收治,根据患者的具体损伤类型及程度实施相应早期救治。结果:本组研究患者95例,治愈88例,构成比为92.63%,平均损伤严重程度评分为(26.16±1.68)分;死亡7例,构成比7.37%,并发休克24例,构成比为25.26%;死亡原因:失血性休克4例,多器官功能衰竭2例,心脏压塞1例。结论:穿透性胸腹联合伤具有死亡率高的特点,失血性休克是其最为常见的致死原因,应根据患者的实际伤情选择手术入路,而及时诊断和治疗是救治危重穿透性胸腹联合伤患者的重要方法。
Objective: To investigate the clinical characteristics and early treatment of penetrating thoracoabdominal combined injuries and its effects. Methods: 95 cases of penetrating thoracoabdominal joint injuries in our study were admitted to our hospital from January 2010 to March 2015, and the corresponding early treatment was carried out according to the specific type and extent of the patients’ injuries. Results: In this study, 95 patients were treated, 88 cases were cured, the constituent ratio was 92.63%, the average severity of injury was (26.16 ± 1.68) points; 7 died, the constituent ratio of 7.37%, 24 cases of shock, the constituent ratio was 25.26 %; Causes of death: 4 cases of hemorrhagic shock, multiple organ failure in 2 cases, 1 case of cardiac tamponade. Conclusion: The penetrating thoracolumbar combined injury has the characteristics of high mortality. Hemorrhagic shock is the most common cause of death. Surgical approach should be selected according to the actual patient’s condition, and timely diagnosis and treatment are the treatment of critical penetrability Thoracoabdominal joint injury in patients with an important method.