Objective: To study the clinical features and treatment experience of thoracoabdominal combined injury. Method: The data of clinical diagnosis and treatment of 88 patients with thoracoabdominal combined injury were retrospectively analyzed. Result: There were 36 cases ( 40.91% ) with penetrating injury caused by sharp instrument and 52 cases ( 59.09% ) with blunt injury caused by traffic injury. 4 cases (4.55% ) were died and the remaining 84 cases (95.45% ) were cured and discharged. Conclusion: The thoracoabdominal combined injuries is a special type of multiple trauma with severe and complicated injuries and a high morality. The treatment principle is early diagnosis and timely operation, to deal with thoracic injury first and laparotomy second.%目的:探讨胸腹联合伤的临床特点和诊治方法.方法:对我院急诊收治的88例胸腹联合伤患者的临床诊治资料进行回顾性分析.结果:开放性损伤36例(40.91%),以锐器刺伤为主;闭合性损伤52例(59.09%),以交通伤多见;治愈84例(95.45%),死亡4例(4.55%).结论:胸腹联合伤比较特殊,伤情复杂,病情严重,死亡率高.治疗原则是早期确诊、及时手术,先处理胸部损伤,后处理腹内脏器损伤.
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