23 Cases Experience of treatment of thoracoabdominal injuries.docVIP

 PAGE \* MERGEFORMAT 4 23 Cases Experience of treatment of thoracoabdominal injuries Retrospective analysis of 23 cases of surgical treatment of thoraco-abdominal injuries in patients with treatment results, that its early diagnosis is the key to successful treatment, surgical treatment is the treatment of thoraco-abdominal injuries in the necessary measures. 1 Clinical data 1.1 General information: The group of 23 patients, 14 patients were male, 9 females, aged from 15 to 37 years old. The causes of injury: 21 cases of sharp injuries, road traffic injuries in 1 case. Injury to admission time of 20 minutes to 6 hours . All the patients had varying degrees of injury chest tightness, shortness of breath, 15 cases of hemorrhagic shock, abdominal pain and peritoneal irritation positive in 8 cases. sharp injuries in 10 cases the wound in the back, chest, back and right chest in 13 cases of .37 cases underwent chest X-ray injury, suggesting that there was blood in 18 cases .7 thoracic trauma patients underwent both abdominal ultrasound B diaphragmatic rupture, pulmonary laceration in 9 cases, 6 cases of splenic rupture, hepatic rupture in 5 cases, 11 cases of stomach rupture . 1.2 Treatment: All the patients underwent surgical treatment, transthoracic in 14 cases, including 9 cases of lung laceration repair, rupture repair in 6 cases, 11 cases of stomach rupture repair, repair of gastric rupture in 1 case. 2 cases of the line at a local hospital after injury, wound debridement and closed thoracic drainage, 10 days later transferred to our hospital because of fever, chest thoracotomy found a large quantity of purulent secretions and food residues, fibers formed on the surface of lung membrane, diaphragm rupture was greater omentum blocked, stripping the surface of fiber membrane lung, diaphragm rupture repair, and down two drainage tube indwelling, indwelling shunt in 9 cases. diaphragmatic abdominal surgery underwent repair and peritoneal drainage