Abdominal highway traffic accidents with multiple injuries Experience of treatment of 136 cases.docVIP

 PAGE \* MERGEFORMAT 6 Abdominal highway traffic accidents with multiple injuries Experience of treatment of 136 cases Of: Zhangke Yong Yun Liu Hui Xu Xi-Ting Zhang [Keywords:] accident, abdominal injuries, treatment Hospital trauma care centers is the year 1999 Highway 3 months to October 2007, were treated abdominal injuries caused by highway accidents mainly of 136 patients with multiple trauma, multiple injuries over the same period accounted for 35.9%, now Experience of Treatment summary report as follows. 1 Materials and Methods 1.1 General information on 136 patients in this group, 123 patients were male and 13 female. Aged 6 to 65 years, mean 30 years old. By our hospital admissions from the highway directly into the Branch, the injury to the reception time of 40 min ~ 1.5 h, an average of 1.1 h. However, systolic blood pressure 80 mmHggt; 50 mmHg 56 cases (41.2%), 50 mmHg in 30 cases (22.0%). in which two abdominal organ injuries in 52 cases (38.2%), 3 abdominal injury at more than 6 cases (4.4%), abdominal blood loss was 1 500 ml, blood lossgt; = 3 000 ml in 20 cases. Measures 1.2 treatment admissions in this group of patients given rapidly in the ambulance after the recovery cycle, the establishment of effective intravenous access. While maintaining the airway, the flow of pressurized oxygen mask 58 patients underwent tracheotomy admission in 12 cases, diagnostic 185 cases of abdominal and thoracic puncture (time), 105 cases of bedside ultrasonography B, 131 cases of emergency abdominal surgery, 5 cases of abdominal organ injuries due to delayed diagnosis, at 48 ~ 72 h after injury, surgery. while at the same anesthesia group the implementation of the same stage and other parts of the abdominal surgery in 34 patients (22 cases of orthopedic, thoracic in 8 cases, 4 cases of brain surgery). 1.3 6 cases of pulmonary infection complications, urinary tract infection in 3 cases, 13 cases of gastrointestinal bleeding, deep venous thro