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[胸腹创伤合并其他损伤的预后]

[Prognosis of thoracoabdominal trauma with reference to concomitant injuries].

作者信息

Dittel K K, Uhlig C, Kraft E

机构信息

Chirurgische Abteilung, Marienhospital Stuttgart, Akademisches Lehrkrankenhaus der Universität Tübingen.

出版信息

Langenbecks Arch Chir. 1988;373(2):114-21. doi: 10.1007/BF01262774.

Abstract

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.

摘要

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。

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