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目的探讨严重多发伤的临床特点和急救措施,以提高其抢救成功率。方法对2003-2010年的严重多发伤患者进行回顾性分析。结果 275例入院时合并休克168例,未及手术23例,急诊手术252例其中术中死亡8例,术后因并发症死亡12例,其余患者均治愈出院。结论严重多发伤患者伤情危重复杂,部分患者早期确诊比较困难,加强创伤“黄金时间”的抢救以及合理有序的治疗,是提高严重多发伤抢救成功率的关键。
Objective To investigate the clinical features and emergency measures of severe multiple trauma to improve the success rate of salvage. Methods A retrospective analysis was performed on patients with severe multiple trauma from 2003 to 2010. Results Among the 275 cases admitted to hospital, 168 cases were complicated with shock in 23 cases. There were 252 cases of emergency operation including 8 cases of intraoperative death and 12 cases of postoperative complications due to complications. The remaining patients were cured and discharged. Conclusions Severe multiple trauma patients are critically ill and complicated. Some patients are more difficult to diagnose in the early stage. Strengthening the trauma of “prime time” and rational and orderly treatment are the keys to improve the success rate of serious multiple trauma.