胸部穿透伤合并腹部脏器伤者 ,一般伤情较重而复杂 ,严重胸部伤往往引起呼吸循环紊乱 ,可迅速导致死亡[1 ] 。如合并肝、脾等脏器破裂 ,患者常因失血过多 ,导致失血性休克 [2 ]。我院于 1999年 3月 10日收治一例胸腹部多脏器贯通伤并肝破裂患者 ,经积极抢救治疗 ,精心护理 ,治 Chest penetrating injury with abdominal organ injury, the general injury heavier and more complicated, severe chest injury often lead to respiratory disorders, can quickly lead to death [1]. Such as liver and spleen and other organs rupture, patients often due to excessive bleeding, leading to hemorrhagic shock [2]. Our hospital on March 10, 1999 admitted a case of thoracic and abdominal multiple organ injury and liver rupture patients, after active rescue treatment, meticulous care, governance