Primary hospital for treatment of multiple trauma experience.doc

 PAGE \* MERGEFORMAT 8 Primary hospital for treatment of multiple trauma experience [Abstract] Objective: To investigate the clinical features of multiple injuries, and explore the treatment of multiple injuries grassroots measures to improve the grass-roots level the survival rate of patients with multiple trauma. Methods: 28 patients to hospital for treatment to review and sum up, according to multiple injuries classification, two parts of the injury in 26 cases, three parts of the injury in 2 cases. Results: cured 24 cases (85.71%), 4 patients died (14.29%). The cause of death organ failure (MOF) 3 cases and 1 case of irreversible shock. Conclusion: The multiple trauma with a sudden, the seriousness and complexity of the characteristics of the higher mortality rates, on-site ambulance is essential, diagnosis treatment is timely, accurate and often higher than the injury itself, but also affect the survival rate, professional treatment is the primary hospital to improve the level of multiple trauma treatment an effective way. [Keywords:] multiple trauma; treatment With the rapid development of transportation and industry, who is also an increase in injury accidents, grass-roots hospitals admitted with multiple injuries on the rise. We are in the 2004 to 2006 treatment of 28 patients with multiple injuries and achieved satisfactory results, are reported as follows: A clinical data 1.1 Gender and Age All male, aged 20 to 49 years old. 20 ~ 35 years old 24 cases, 36 to 45 years in 2 cases, 46 ~ 49 years old in 2 cases. 1.2 Injury 12 patients injured by heavy objects, collision injuries in 7 cases, five cases of crush injury, blast injury in 2 cases, fall injury in 2 cases. 1.3 injuries Injury in each case were more than two parts, of which 6 cases of pelvic fracture, rib fractures in 10 cases times, long bone fractures 12 cases, spinal fracture 3 cases, urethral injury in 2 cases, 1 case of liver rupture times, the spleen 2 cases of rupture times, in