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目的:减少严重胸腹联合伤病人的并发症,提高临床治愈率。方法:严重胸腹联合伤的12例病人于伤后2～20h急诊行开腹手术,腹腔闭式引流术。结果:同时行气管切开术的8例病人治愈7例,死亡1例为合并严重颅脑损伤者。术后第2日行气管切开者2例因气道阻塞,窒息至植物状态。结论:对严重胸腹联合伤的病人,术后立即行气管切开术,有助于防止因气道阻塞而窒息,并发感染,甚至继发ARDS,放宽此类病人的气管切开指征,有助于术后气道内分泌物的清理,呼吸机的及时应用有利于提高治愈率。
Objective: To reduce the serious complications of thoracoabdominal injury patients and improve the clinical cure rate. Methods: Twelve patients with severe thoracoabdominal injuries were performed laparotomy and closed abdominal drainage at 2 ~ 20 h after injury. Results: In the same tracheotomy, 8 patients were cured in 7 cases, 1 died of severe traumatic brain injury. 2 days after tracheotomy 2 cases of obstruction due to airway asphyxia to plant state. CONCLUSIONS: In patients with severe thoraco-abdominal injuries, tracheotomy is performed immediately after the operation to help prevent asphyxia due to airway obstruction, complicated with infection, and even secondary to ARDS, to relax the tracheotomy indications for such patients, Conducive to postoperative airway secretions clearance, timely application of ventilator is conducive to improving the cure rate.