96例严重胸腹部血管损伤的早期救治分析临床医学.docVIP

96例严重胸腹部血管损伤的早期救治分析临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：96例严重胸腹部血管损伤的早期救治分析临床医学 1 1 一般资料 3 2 院前及院内早期急救 3 3 早期检查及诊断 3 4 治疗 4 1 早期检查及诊断 4 2 容量复苏 5 3 手术方式选择 6 4 数字减影血管造影及血管腔内治疗 6 文2：外伤性脾破裂96例救治分析 7 1 资料与方法 7 2 结果 8 3 讨论 8 参考文摘引言： 10 原创性声明（模板） 12 文章致谢（模板） 12 正文 96例严重胸腹部血管损伤的早期救治分析临床医学 文1：96例严重胸腹部血管损伤的早期救治分析临床医学 Abstract： Objective To explore methods of early diagnosis and treatment for severe thoracic and abdominal vascular Ninetysix patients with severe thoracic and abdominal vascular injuries were diagnosed and treated from to six cases of hemorrhagic shock admitted to emergency department were operated immediately and diagnosed,because no clotting blood was drawn out through thoracocentesis or peritoneocentesis;45 cases were diagnosed by spiral CT and angiography(CTA);25 cases were diagnosed by digital substraction eight patients were taken operation: blood vessel suture and repair in 45 cases;angiography and blocking blood vessels by sacculus proprius in 12 cases before operation;artificial blood vessel anastomosis in 13 cases,of whom,3 cases received damage control because of severe injury,the process of which was to shunt by intubation for blood vessel injury,then take resuscitation for improving general condition,and vascular anastomosis within 48 hou;arterial embolization in 38 Eightyfive cases were cured ,with cure rate of %.Thirtyeight cases developed complicatio including 6 sepsis,9 ARDS,and 23 cases died，of them 9 cases died within 12 hou after injury maily because of severe multiple orga cases died respectively at 8 and 16 days after injury,whose main death cause was sepsis and Thoracic and abdominal vascular injuries should undertake examination and diagnosis at once,then take emergent operation with blood vessel repair or abdominal and retroperitoneal vascular injuries may be treated with arterial embolization. Key words:trauma;vascular injury;operation;angiography;arterial embolization