Polytrauma with thoracic and/or abdominal injuries: experience in 1 540 cases / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 108-114, 2006.
Artículo
en Inglés
| WPRIM
| ID: wpr-280926
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the early diagnosis and treatment of polytrauma patients with thoracic and/or abdominal injuries.</p><p><b>METHODS</b>The data of all polytrauma patients with thoracic and/or abdominal injuries during the past 10 years were studied retrospectively.</p><p><b>RESULTS</b>In the present study, there were 1 540 polytrauma patients, accounting for 65.0% of all 2 368 trauma patients. Of these patients, 62.4% were in shock state on admission. The operative rates were 15.0% (181/1 206) and 79.9% (612/766) in patients with thoracic and abdominal injury (P<0.01), 5.2% (39/758) and 31.7% (142/448) in patients with blunt and penetrating chest trauma (P<0.01), and 72.45% (359/496) and 93.7% (253/270) in patients with blunt and penetrating abdominal injuries (P<0.01), respectively. To deal with abdominal injury, angioembolization was performed in 43 cases, with 42 cured. The overall mortality rate was 6.2%. And in the blunt and penetrating subgroups, the mortalities were 7.9% (75/950) and 3.6% (21/590), respectively (P<0.01). Most patients died from exsanguination.</p><p><b>CONCLUSIONS</b>The first "golden hour" after trauma should be grasped, since the treatment in this hour can determine greatly whether the critically-injured victim could survive. Prompt diagnosis and proper treatment contribute more greatly to the survival of the victim than the severity of injury.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Cirugía General
/
Terapéutica
/
Traumatismos Torácicos
/
Traumatismo Múltiple
/
China
/
Epidemiología
/
Estudios Retrospectivos
/
Diagnóstico
/
Traumatismos Abdominales
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio de tamizaje
Límite:
Adolescente
/
Adulto
/
Anciano
/
Aged80
/
Niño
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Chinese Journal of Traumatology
Año:
2006
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS