Ioannidis O, Varnalidis I, Papapostolou D, Chatzopoulos S, Kotronis A, Paraskevas G, Konstantara Athina, Papadimitriou N, Makrantonakis A, Kakoutis E
First Surgical Department, General Regional Hospital "George Papanikolaou", Thessaloniki, Greece.
Rev Med Chir Soc Med Nat Iasi. 2012 Jan-Mar;116(1):175-81.
Thoraco-abdominal traumatic injuries affect the inferior part of the thoracic cavity and the superior part of the abdominal cavity. This study summarizes five years of our surgical department's experience in the diagnosis and management of thoracoabdominal trauma patients.
We examined records from our surgical and emergency room departments from January 1996 to December 2000, and selected patients with thoraco-abdominal injuries.
Fifty-five patients were treated who suffered coexisting trauma of the thoracic and abdominal cavity. Males represented the majority of patients and mean age was 38.2 years. Traffic accidents were the major cause (55%) followed by criminal acts of violence (32%) and falls (13%). The most common thoracic injuries were rib fractures (40%) and simple lung contusions (35%) and the abdominal organs most commonly injured were the spleen (35%), liver (25%) and kidney (20%). Surgical interventions were performed in 68% of patients, whereas the remaining patients were treated conservatively.
Thoraco-abdominal injuries are characterized by high heterogeneity and can provide significant decision-making challenges. The accurate diagnosis of all coexisting injuries is critically important, as the diagnosis will determine surgical or non-operative management of these injuries.
胸腹联合创伤累及胸腔下部和腹腔上部。本研究总结了我外科五年间诊治胸腹创伤患者的经验。
我们查阅了1996年1月至2000年12月外科和急诊室的记录，选取了胸腹联合创伤患者。
共治疗55例胸腹联合创伤患者。男性患者居多，平均年龄38.2岁。交通事故是主要致伤原因（55%），其次是暴力犯罪行为（32%）和跌倒（13%）。最常见的胸部损伤是肋骨骨折（40%）和单纯肺挫伤（35%），最常受损的腹部器官是脾脏（35%）、肝脏（25%）和肾脏（20%）。68%的患者接受了手术干预，其余患者接受保守治疗。
胸腹联合创伤具有高度异质性，会给决策带来重大挑战。准确诊断所有合并伤至关重要，因为诊断将决定这些损伤的手术或非手术治疗方式。
