Penetrating thoracoabdominal injuries of 12 cases.doc

 PAGE \* MERGEFORMAT 7 Penetrating thoracoabdominal injuries of 12 cases [Abstract] of the 12 cases of penetrating thoracoabdominal wounds healed in 10 cases, 2 cases of hemorrhagic shock and multiple organ failure and death. Penetrating thoracoabdominal trauma with multiple organ damage, injury weight, mortality Advanced features, the early adoption of urgent surgical treatment is the key to treatment. [Keywords:] trauma; penetrating wounds; thoraco-abdominal injuries; surgery Thoraco-abdominal injuries caused by violence is the thorax and abdominal organ injury, accompanied by diaphragmatic injury caused by abdominal cavity connected. And penetrating thoracoabdominal injuries mostly sharps injuries, often associated with intra-abdominal organ injury [1, 2]. in our hospital from August 1998 ~ August 2008 were treated between open thoraco-abdominal injuries in 12 cases, reported as follows. Clinical data 1 General Information The group of 12 patients, male 11, female 1 case; aged 22 to 45 years (mean 28.8 + -7.6 years). The causes of injury: missile injuries in 6 cases, injuring three cases blade, sharp injury in 3 patients. had chest and abdominal organ injury. incision in the nipple position are the following, in 9 cases the left and right in 3. from the 5 cases of penetrating chest to the abdominal cavity, penetrating to the chest from the abdomen in 7 cases. thorax dirty control lung laceration injury in 8 cases, 7 cases of pneumothorax with blood; abdominal organ injury in 7 cases of liver injury, spleen injury in 5 cases, 4 cases of intestinal rupture. The average blood loss was 1600ml, injury severity score (ISS) 18 ~ 32 (mean 24 points), the average hospitalization time after injury 74 minutes. admission, 6 cases of hemorrhagic shock, respiratory insufficiency in 3 patients. According to injury history, physical examination, combined with imaging studies (chest and abdominal X-ray examination, CT examination ) and intraoperative examinati