|本期目录/Table of Contents|

[1]宋 斌,胡海波,王怀云,等.多发伤的特征及早期救治探讨[J].医学研究与战创伤救治(原医学研究生学报),2012,14(06):491-493.
　SONG Bin,HU Hai-bo,WANG Huai-yun,et al.Investigation of characteristics and early treatment of multiple traumas[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(06):491-493.
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多发伤的特征及早期救治探讨()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第14卷
期数:
2012年06期
页码:
491-493
栏目:
出版日期:
2012-11-20

文章信息/Info

Title:
Investigation of characteristics and early treatment of multiple traumas
文章编号:
1672-271X(2012)06-0491-03
作者:
宋 斌; 胡海波; 王怀云; 王剑火
351100 福建莆田,南京军区福州总医院95临床部
Author(s):
SONG Bin; HU Hai-bo; WANG Huai-yun; WANG Jian-huo
95 Clinical Branch,Fuzhou General Hospital of PLA,Putian，Fujian 351100，China
关键词:
多发伤; 流行病学; 损伤控制外科技术; 并发症发生率
Keywords:
multiple traumas;  epidemiological regularity;  damage control surgery;  incidence of complications
分类号:
R649.9
DOI:
-
文献标志码:
A
摘要:
目的 总结多发伤患者的临床特征及其防治对策，探讨严重多发伤时损伤控制外科应用的可行性和疗效。方法 对严重多发伤322例的受伤原因、时间、并发症发生率及病死率等资料进行分析。结果 本组抢救成功303例(94.1％)，死亡19例(5.9％)，发生并发症54例(16.8％)，其中成人呼吸窘迫综合征16例，弥散性血管内凝血8例，多器官衰竭9例，腹腔室间隙综合征3例，感染18例。结论 多发伤患者具有伤情重、易漏诊的特点，应用损伤控制的方法处理可以降低病死率，减少并发症，提高救治成功率。
Abstract:
Objective To analyze the features of multiple traumas and its management,and explore the therapeutical effect of damage control surgery for multiple traumas.Methods The clinical data of 322 patients with severe multiple traumas admitted from June 2005 to June 2011 were analyzed retrospectively.These severely injured patients with an injury severity score (ISS)> 16 points were included in a retrospective analysis.Data collected for analysis consist of the general characteristic of the multiple traumas patients,mechanism and timing of injury,incidence of complications and mortality.Results 303 of 322 (91％) patients were successfully treated and 19 (5.9％) patients were dead.Complications occurred in 54 (16.8％)cases.The incidences of adult respiratory distress syndrome,diffuse intravascular coagulation,multiple organs dys-function syndrome,abdominal compartment syndrome and infection were 5％(16／322),2.5％(8／322),2.8％(9／322),1％(3／322),5％(16／322),respectively.Conclusion The main clinical characteristics of multiple traumas are severity of injuries,bad prognosis and high incidence of complications,DCS could reduce multiple traumas patients’ mortality rate and incidence of complications.

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备注/Memo

备注/Memo:
福建省科技计划项目(2009Y01010779)
更新日期/Last Update: 2012-11-20