Dittel K K, Uhlig C, Kraft E
Chirurgische Abteilung, Marienhospital Stuttgart, Akademisches Lehrkrankenhaus der Universität Tübingen.
Langenbecks Arch Chir. 1988;373(2):114-21. doi: 10.1007/BF01262774.
A total of 301 patients with thoracoabdominal lesions had concomitant craniocerebral lesions (69.1%) and injuries of the locomotor system (66.1%). In 65.4% operative intervention was necessary, while 34.6% could be primarily treated conservatively. Operative emergency therapy was required in the thorax in 34.7%, and in the abdomen in 50%. Under these conditions, the mortality for the thorax was 70.6% and for the abdomen 40.5%. As a result of mostly combined causes (66%), 101 patients died (33.6%). Multiple organ failure was in the high range (80%), while the most frequent single cause of death was craniocerebral trauma, ranking before thoracic and abdominal traumata.
共有301例胸腹损伤患者伴有颅脑损伤（69.1%）和运动系统损伤（66.1%）。65.4%的患者需要手术干预，而34.6%的患者可首先进行保守治疗。胸部需要进行急诊手术治疗的占34.7%，腹部占50%。在这些情况下，胸部损伤的死亡率为70.6%，腹部损伤的死亡率为40.5%。由于多数为复合原因（66%），101例患者死亡（33.6%）。多器官功能衰竭发生率很高（80%），而最常见的单一死亡原因是颅脑创伤，排在胸腹部创伤之前。
