钝性胸部损伤后的死亡原因。

Causes of death after blunt chest injury.

作者信息

James O F, Moore P G

出版信息

Aust N Z J Surg. 1983 Feb;53(1):37-42. doi: 10.1111/j.1445-2197.1983.tb02392.x.

DOI:10.1111/j.1445-2197.1983.tb02392.x

Abstract

During the 10 years from 1968 a total of 1119 patients with chest and associated injuries were admitted to the Royal Newcastle Hospital (RNH); 530 of these needed ICU treatment and fifty-nine died. Common causes of death included irreparable associated injuries to brain and exsanguination due to major vessel injury. However, the commonest cause encountered was refractory respiratory failure due to pulmonary sepsis. This condition was associated with hypovolaemic shock, intra-abdominal injuries, failure of conservative treatment and injuries in the older age groups.

摘要

从1968年起的10年间，共有1119例胸部及相关损伤患者被收治于皇家纽卡斯尔医院（RNH）；其中530例需要重症监护治疗，59例死亡。常见死因包括无法修复的脑部相关损伤以及大血管损伤导致的失血过多。然而，最常见的死因是肺部感染引起的难治性呼吸衰竭。这种情况与低血容量性休克、腹部损伤、保守治疗失败以及老年患者的损伤有关。