Analysis of Early Remedy for 63 Cases of Severe Thoracic and Abdomina Injuries

Objective:To explore early methods of diagnosis and treatments for severe thoracic and abdominal injuries.Method:Through collecting 63 severe thoracic and abdominal injured patients,each with different degree of shock and were diagnosed and treated from Feb.2006 to Sep.2010,of which 27 cases were diagnosed because more no solidify blood was drawn out through thoracocentesis or peritoneocentesis,30 cases diagnosed by spiral CT,6 cases diagnosed by B-ultrasound,60 cases of emergency surgical operation,3 cases surgical operated within 12 hours after a definite diagnosis.And in these cases,15 cases were thoracic injuries,31 cases were abdominal injuries,17 cases were thoracoabdominal injuries.Result:58 cases were successfully cured,with a 92% cure rate;10 cases developed complications,including 1 Sepsis,3 MODS,2 DIC,2 Pulmonary infection,2 incision infection;5 cases died,of which 4 cases died within 12 hours,because of severe multiple organs damage and hemorrhagic shock.Conclusion:The analysis of the clinical cases show that in the shortest possible time implementing Trauma-emergency-system-management informatively and modeling to severe thoracic and abdominal injured patients,conducting medical intervention,rapid assessment,accurate diagnosis,targeted treatment to injured organ can obviously increase the survival rate and reduce the rate of disability.