Multiple injuries in the principles of abdominal injury.doc

 PAGE \* MERGEFORMAT 7 Multiple injuries in the principles of abdominal injury Multiple injuries as yet no one accepted definition. Is generally believed that any harm to two or more parts, and at least one life-threatening injuries are known as multiple injuries. Combined injury is the cause of two or more due to injury. multiple injuries is the same anatomical parts of the multiple injuries. This makes severe multiple trauma with a clear quantitative criteria, is the focus of emergency treatment, has its own unique complexity and severity. 1, the characteristics of diagnosis First, to avoid misdiagnosis. Because such damage is often accompanied by head, chest and other injuries, and wounded more than in the disturbance of consciousness and shock, abdominal signs are often easy to conceal. Therefore, to understand the severe multiple trauma injury mechanism, especially for with disturbance of consciousness or easy to ignore the next blunt chest trauma may damage abdominal organs. under suspicious circumstances should be abdominal paracentesis or lavage (DPL, and ultrasound, CT or MRI. According to our hospital collected 782 cases of abdominal trauma patients , make a correct diagnosis on admission of only about 50%. With the B-, CT, MRI and so widely used, diagnostic accuracy rate gradually increased, but there are still 20% of cases in the operation direction is not clear. Focus on the diagnosis: clear whether visceral organ damage. organ damage which may be. treatment measures to be taken. Highlights include the history of the diagnosis of injury and mechanism of injury, symptoms and clinical manifestations. It is noteworthy that include abdominal injuries, including multiple trauma, patients with severe injuries, often to our great difficulties in diagnosis. abdominal injury central nervous system injury, accounting for 5% of all abdominal injuries in 10%. These patients should be emphasized repeatedly, many times, many