小儿胸腹联合伤11例临床分析

摘要

This paper reports 11 children with thoraco-abdominal injuries. Most of them were combined with multiple organ injuries and the conditions were complicated. Thoracentesis and abdomincentesis are effective and simple methods to the diagnosis. The respiratory failure and hypovelemia shock are the main causes of death. The important management is immediate tube thoracotomy with water seal drainage and laparotomy. The mortality may be reduced if an exploratory thoracotomy is carried out earlyin case of dubious diagnosis.%本文对11例小儿胸腹联合伤分析.小儿胸腹联合伤病情复杂,常为多部位多器官损伤,有"表轻里重"特殊性.胸腹腔穿刺是一简便而有效的诊断方法.呼吸窘迫综合征和失血性休克是其主要致死原因.胸腔闭式引流和剖腹探查术是主要治疗手段.在诊断不清时经胸入路比先开腹手术可明显降低病死率.