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《Journal of Traumatic Surgery》 2002-06
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Characteristics and management of injury in patiens with severe multiple trauma

HUANG Xian kai,JIANG Yao guang,ZHOU Jian,et al. (Department of Traumatic Surgery,Daping Hospital,Third Military Medical University,Chongqing 400042,China)  
Objective To explore injury characteristics and management for severe multiple trauma.?Methods One thousand two hundred and sixteen cases with severe multiple trauma from January 1980 to June 2002 were analysed. Balance salt solution fluid was mainly used for volume resuscitation,blood and colloidfluid were also transfused appropriately. Fluid quantity reached 10?000 15?000ml/24 hour in 214 patients with severe hemorrhagic shock. One thousand one hundred and eighty five patients were operated on,1?054 patients were monitored in intensive care unit.?Results Average time of final diagnosis after injury was 4.7 hours. The rate of missed diagnosis at early stage was 7.6%. Number of damaged organ was limb,abdomen,chest and head in turn. Incidence of shock was 84.9%,serious sepsis on 132 cases (10.9%) ,acute lung injury and ARDS on 387 cases(31.8%),MODS on 125 cases(10.3%) and stress ulcer on 137 cases(11.3%). Of them 1?107 patients(91.04%) were cured,109 cases(8.96%)died.?Conclusion Controlling hemorrhage promptly, relieving ischemia and hypoxia,mastering accurately operation occasion and operation methods,maintaining function of the important organs, decreasing complication of internal organs are key links in treatment of the patient with serious multiple trauma.
【Fund】: 全军“十五”攻关课题 (0 1L0 4 9)
【CateGory Index】: R641.059
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