Dittel K K, Rupf G
Aktuelle Traumatol. 1984 Oct;14(5):206-10.
81 patients with combined thoraco-abdominal lesions had at the same time craniocerebral lesions (54 cases) and (in 70 cases) injuries of the locomotor system. These 64 men and 17 women had an average age of 44.8 years. In 72.9% surgical intervention was necessary in the regions of the thorax and abdomen at the same time, whereas in 18.5% of the cases surgery was required either at the thorax or at the abdomen only. Only 8.6% of the patients could be treated conservatively. 42 patients died (51.9%), two-thirds of these from direct organ lesion and one-third from an indirect organ lesion. The most frequent cause of death was craniocerebral trauma, ranking before thoracic and abdominal trauma.
81例胸腹联合损伤患者同时合并颅脑损伤(54例)和运动系统损伤(70例)。其中男性64例,女性17例,平均年龄44.8岁。72.9%的患者需要同时对胸腹部进行手术干预,18.5%的患者仅需对胸部或腹部进行手术。仅有8.6%的患者可采用保守治疗。42例患者死亡(51.9%),其中三分之二死于直接器官损伤,三分之一死于间接器官损伤。最常见的死亡原因是颅脑创伤,其排在胸腹部创伤之前。