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Objective To study application of hematocoelia reinjection in abdominal injury with massive hemorrhage and anemia ,and to estimate the impact of salvaged autotransfusion on blood routine and blood coagulation of patients.Methods In 75 patients with intra-abdominal injury bleeding anemia undergoing autologous hematocoelia reinfusion,compare the anemia index and coagulation indexes before and after surgery to evaluate the therapeutic effect.Results Among 75 cases,1 cases died of brain injury,the other 74 cases were cured.After the second days of review,red blood cell,hemoglobin,hematocrit,platelet were elevated,compared with preoperative,the differences were statistically significant(all P0.05).Conclusion Salvaged autotransfusion can improve anemia prompt-ly without any impact on coagulation function in rescuing abdominal injured patients with massive hemorrhage and a -nemia.The treatment is effective .It has an important application in primary hospital .
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Objective To investigate the characteristic of diagnosis and treatment of traumatic diaphragm rupture.Methods The characteristic of diagnosis and treatment of 32 cases with traumatic diaphragm rupture was analyzed retrospectively.14 cases were injured by sharp instrument and the other cases with blunt injury mainly caused by traffic accidents.Results Of 32 cases,19 had diaphragmatic ruptures preoperatively,13 diaphragmatic rupture was found during the operation.28 cases cured and 4 cases died.Conclusions The mechanism of traumatic diaphragm rupture and patients' symptoms and sign are severe and complicate with a high shock and mortality.Correct diagnosis and management of traumatic diaphragm rupture are very important.The treatment principle is thoracic injures first and laparotomy second.