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目的:通过总结腹部创伤伴多发伤的诊治经验,以进一步提高其救治水平。方法:回顾性分析2005-01/2007-12收治的35例严重腹部创伤伴多发伤患者的临床资料。结果:35例均采用手术治疗,术中死亡2例,术后死亡6例,原因为失血性休克和多器官功能障碍综合征。结论:结合病史、体检、各种辅助检查等可提高诊断率,尽早行确定性手术治疗、快速有效止血、术中探查避免遗漏脏器损伤是降低死亡率的主要措施。
Objective: To summarize the diagnosis and treatment of abdominal trauma with multiple injuries in order to further improve the level of its treatment. Methods: The clinical data of 35 patients with severe abdominal trauma and multiple trauma admitted from January 2005 to December 2007 were retrospectively analyzed. Results: All 35 cases were treated by surgery. There were 2 cases of intraoperative death and 6 cases of postoperative death due to hemorrhagic shock and multiple organ dysfunction syndrome. Conclusion: The combination of medical history, physical examination, various auxiliary examinations can improve the diagnostic rate. As early as possible, definite surgical treatment can be used to quickly and effectively stop bleeding. The main measures to reduce mortality are to avoid missing organ injury during operation.