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.
Artigo
em Inglês
| 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Terapêutica
/
Traumatismos Torácicos
/
Traumatismo Múltiplo
/
China
/
Epidemiologia
/
Estudos Retrospectivos
/
Diagnóstico
/
Traumatismos Abdominais
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo de rastreamento
Limite:
Adolescente
/
Adulto
/
Idoso
/
Aged80
/
Criança
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Chinese Journal of Traumatology
Ano de publicação:
2006
Tipo de documento:
Artigo
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