| 26例胸腹联合伤临床分析 |
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| 引用本文： | 赵玉彪.26例胸腹联合伤临床分析[J].大理学院学报,2009,8(2). |
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| 作者姓名： | 赵玉彪 |
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| 作者单位： | 大理学院大理教学医院胸外科,云南大理,671000 |
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| 摘 要： | 目的:探讨胸腹联合伤的诊断及治疗特点.方法:总结经手术证实的胸腹联合伤26例,其中开放性损伤20例(76.92%),以锐器刺伤为主;闭合性损伤6例(23.07%),以交通肇事伤多见.分析不同原因的损伤类别及不同临床症状与手术方式.结果:26例中,术前明确有膈肌破裂12例(46.15%);1例在第一次手术中发现膈肌破裂,并予以修补25例(96.15%),未探查膈肌而漏诊1例(3.85%);死亡1例(3.85%).结论:胸腹联合伤是一种特殊类型的损伤,伤情复杂、严重,死亡率高.诊断应根据受伤机制和出血量判断,特别注意避免漏诊膈肌损伤.治疗原则为先处理胸部损伤,后处理腹内脏器损伤.
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| 关 键 词： | 胸部损伤 腹部损伤 膈肌 |
Clinical Analysis of Thoracoabdonminal Combined Injuries in 26 Cases |
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| ZHAO Yubiao.Clinical Analysis of Thoracoabdonminal Combined Injuries in 26 Cases[J].Journal of Dali University,2009,8(2). |
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| Authors: | ZHAO Yubiao |
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| Affiliation: | Dali Teaching Hospital of Dali University;Dali;Yunnan 671000;China |
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| Abstract: | Objective: To explore the characteristics of diagnosis and treatment of thoracoabdominal combined injuries(TCI).Methods: A retrospective study was carried out for 26 cases of TCI treated surgically.20 cases(76.92%)were of penetrating injury.6 cases(23.07%)were of blunt injury caused by sharp instrument,mainly traffic injuries.The injuries due to different causes and their clinical signs as well as operative measures were analyzed.Results: of 26 cases,12(46.15%)had diaphrag matinical ruptures preoperatively,... |
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| Keywords: | thoracicinjuries abdominalinjuries diaphragm |
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