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Polytrauma with thoracic and/or abdominal injuries: experience in 1 540 cases.
- Source :
-
Chinese journal of traumatology = Zhonghua chuang shang za zhi [Chin J Traumatol] 2006 Apr; Vol. 9 (2), pp. 108-14. - Publication Year :
- 2006
-
Abstract
- Objective: To investigate the early diagnosis and treatment of polytrauma patients with thoracic and/or abdominal injuries.<br />Methods: The data of all polytrauma patients with thoracic and/or abdominal injuries during the past 10 years were studied retrospectively.<br />Results: In the present study, there were 1 540 polytrauma patients, accounting for 65.0% of all 2 368 trauma patients. Of these patients, 62.4% were in shock state on admission. The operative rates were 15.0% (181/1 206) and 79.9% (612/766) in patients with thoracic and abdominal injury (P<0.01), 5.2% (39/758) and 31.7% (142/448) in patients with blunt and penetrating chest trauma (P<0.01), and 72.45% (359/496) and 93.7% (253/270) in patients with blunt and penetrating abdominal injuries (P<0.01), respectively. To deal with abdominal injury, angioembolization was performed in 43 cases, with 42 cured. The overall mortality rate was 6.2%. And in the blunt and penetrating subgroups, the mortalities were 7.9% (75/950) and 3.6% (21/590), respectively (P<0.01). Most patients died from exsanguination.<br />Conclusions: The first "golden hour" after trauma should be grasped, since the treatment in this hour can determine greatly whether the critically-injured victim could survive. Prompt diagnosis and proper treatment contribute more greatly to the survival of the victim than the severity of injury.
- Subjects :
- Abdominal Injuries diagnosis
Abdominal Injuries surgery
Abdominal Injuries therapy
Adolescent
Adult
Aged
Aged, 80 and over
Child
China epidemiology
Female
Humans
Male
Middle Aged
Multiple Trauma epidemiology
Retrospective Studies
Thoracic Injuries diagnosis
Thoracic Injuries surgery
Thoracic Injuries therapy
Multiple Trauma diagnosis
Multiple Trauma therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1008-1275
- Volume :
- 9
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Chinese journal of traumatology = Zhonghua chuang shang za zhi
- Publication Type :
- Academic Journal
- Accession number :
- 16533438