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目的总结以腹部创伤为主的多发伤的急诊救治经验,探讨如何改进救治方案,降低病死率。方法回顾性分析作者2007年8月至2009年6月参加急诊救治的以腹部创伤为主的严重多发伤典型病例50例的临床诊治资料。所有患者ISS评分在19～24之间,平均值22。结果本组患者抢救成功46例(其中痊愈出院44例,由于各种原因放弃后续治疗2例),成功率92%;死亡4例,病死率8%。结论快速诊断、抗休克治疗、减少急诊手术准备及手术时间是提高抢救成功率的关键;要求急诊医生技术知识全面,反应迅速,合理地统筹安排整个救治过程。
Objective To summarize the emergency treatment experience of multiple trauma with abdominal trauma and to explore ways to improve the treatment plan and reduce the case fatality rate. Methods A retrospective analysis of the author from August 2007 to June 2009 to participate in emergency treatment of abdominal trauma in the typical cases of severe traumatic injury in 50 cases of clinical data. All patients had an ISS score of 19 to 24 with an average of 22. Results The patients were successfully rescued in 46 cases (of which 44 cases were cured and discharged and 2 cases were given follow-up treatment due to various reasons). The success rate was 92%, 4 cases died and the case fatality rate was 8%. Conclusions Rapid diagnosis, anti-shock treatment, reduction of emergency operation preparation and operation time are the keys to improve the success rate of emergency treatment. Emergency medical technicians are required to have comprehensive, prompt and rational management of the whole treatment process.