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目的分析并总结严重多发伤的临床特点、抢救方法以及并发症的救治措施。方法在接诊后,医院急诊外科医师给予全面协调,根据“ABC”预案立即开展抢救工作,进行查体、常规辅助检查以及术前各项准备,立即安排相关科室进行紧急会诊,各个科室人员协同给予治疗。结果经紧急救治,全部294例患者中最终死亡者28例,占总人数的9.52%;其中死于严重颅脑损伤者11例,占39.90%;死于MODS等并发症者8例,占28.57%;死于严重胸腹部损伤者7例,占25.00%;死于大血管损伤者2例,占7.10%。266例患者治愈好转,占总人数的90.48%,31例患者遗留程度不等的残疾。结论做好严重多发伤救治工作的关键在于要抓紧抢救的黄金时间,争分夺秒,相关科室要进行紧急会诊,各个科室人员协同给予治疗,全面检查以防发生漏诊,有效预防并积极治疗并发症。
Objective To analyze and summarize the clinical characteristics of severe multiple trauma, rescue methods and treatment of complications. Methods After receiving the admissions, the hospital emergency surgeons gave full coordination and immediately carried out the rescue work according to the “ABC ” plan. Physical examinations, routine auxiliary examinations and preoperative preparations were made. Immediately arrange relevant departments for emergency consultation. All departments Staff collaborative treatment. Results After emergency treatment, 28 of 294 patients were eventually killed, accounting for 9.52% of the total number of patients; among them, 11 died of severe brain injury (39.90%), 8 died of complications such as MODS, accounting for 28.57 %; Died of severe chest and abdomen injury in 7 cases, accounting for 25.00%; died of vascular injury in 2 cases, accounting for 7.10%. 266 patients improved healing, accounting for 90.48% of the total number of 31 patients with varying degrees of residual disabilities. Conclusions The key to successful treatment of severe multiple trauma is to pay close attention to the golden time of rescue and race against time. Relevant departments should conduct emergency consultation. All departments and departments should give treatment in coordination with each other to conduct comprehensive examination to prevent misdiagnosis and effectively prevent and treat complications.