摘要
Objective:Toexploretheoptimaltreatmentforcraniocerebraltraumacomplicatedwiththoraco-abdominalinjuries.Methods:Atotalof2165casesofcraniocerebraltraumacomplicatedwiththoraco-abdominalinjuriesadmittedtoourhospitalbetweenJuly1993andJune2003wereretrospectivelystudied.Amongthem,382casessustainedseverecraniocerebraltrauma(inwhich167werecomplicatedwithshock),733thoracicinjuries,645abdominalinjuriesand787thoraco-abdominalinjuries.Onadmittance,294caseshaddevelopedshock.Withtheprimegoalofsavinglife,respiratoryandcirculatorysystemsandencephalothilipsiswereespeciallytreatedandmonitored.Priorityinmanagementwasdirectedtosevereoropeninjuresratherthantomoderateorclosedinjures.Forcaseswithcerebralherniaduetointracranialhematomaandsevereshockduetobloodloss,cerebralherniaandshockweretreatedconcurrently.Results:Aftertreatment,2024(93.49%)casessurvivedandtheother141(6.51%)died.Amongpatientswhohadseverecraniocerebralinjurywithshockandthosewithout,78(46.71%)and53(24.56%)died,respectively.Forpatientswhohadunderwentcraniocerebralandthoraco-abdominaloperationsconcurrentlyandthosewhohadnot,thedeathrateswere58.49%-65.96%and28.57%respectively,indicatingasignificantdifference(P<0.05).Conclusions:Treatmentforhematomahernia,shockanddisturbedrespirationisthekeyinthemanagementofmultipletraumaofcraniocerebral,thoracicorabdominalinjuries,especiallywhentwoorthreeconditionsoccurredsimultaneously.Unlessitisnecessary,operationsattwodifferentpartsatthesametimeisnotrecommended.Itispreferredtostarttwoconcurrentoperationsatdifferenttime.
出版日期
2004年03月13日（中国期刊网平台首次上网日期，不代表论文的发表时间）
