Weicker W
Klinik für Anaesthesie und Intensivtherapie, Bezirkskrankenhaus und Poliklinik Rostock.
Anaesthesiol Reanim. 1990;15(4):219-25.
Three quarters of thoracic injuries are combined with other traumas, firstly head injuries, secondly injuries of the extremities and thirdly injuries of the abdomen. Seventy-one such patients who were treated in the interdisciplinary intensive care department over 6 years were analysed. In 13 patients laparotomies because of ruptures or perforations of various organs became necessary. These combined injuries had a particularly bad prognosis. Forty-six patients (64.7%) had to be ventilated for more than 24 hours. The average ventilation period was 10 days. The indication for respiratory treatment is stressed. The lethality of the 71 patients amounted to 32.4% (23 patients). During the first treatment even today simple methods of investigation and therapy are of great importance. A comprehensive rescue chain and good interdisciplinary cooperation are the basis of every therapy.
四分之三的胸部损伤合并有其他创伤，首先是头部损伤，其次是四肢损伤，再次是腹部损伤。对6年间在跨学科重症监护病房接受治疗的71例此类患者进行了分析。13例患者因各种器官破裂或穿孔而必须进行剖腹手术。这些复合伤的预后特别差。46例患者（64.7%）需要通气超过24小时。平均通气时间为10天。强调了呼吸治疗的指征。这71例患者的死亡率为32.4%（23例患者）。即使在今天，在首次治疗期间，简单的检查和治疗方法也非常重要。全面的救援链和良好的跨学科合作是每项治疗的基础。
