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目的总结胸腹联合伤临床诊断和治疗方法,提高该病的诊断及治疗水平。方法回顾分析58例胸腹联合伤患者临床资料。结果治愈54例,死亡4例,死亡率6.84%。结论详细询问病史及查体,胸、腹部X平片,CT、胸腹部B超、消化道钡剂造影及钡灌肠造影检查有助胸腹联合伤的诊断。对诊断明确的胸腹合并伤,首先改善呼吸功能,恢复有效循环量,积极做好手术准备。
Objective To summarize the clinical diagnosis and treatment of thoracoabdominal joint injury and to improve the diagnosis and treatment of the disease. Methods Retrospective analysis of 58 cases of thoracoabdominal joint injury clinical data. Results of 54 cases were cured, 4 died, the mortality rate was 6.84%. Conclusions Detailed medical history and chest X-ray examination, thorax, abdomen X-ray, CT, chest and abdomen B ultrasound, barium and gastrointestinal barium enema contrast examination can help the diagnosis of chest and abdomen joint injury. The diagnosis of chest and abdomen combined injury, first of all to improve respiratory function, recovery of effective circulation, and actively prepare for surgery.