汶川地震中迟发性损伤临床特点分析及处理

详细信息 本馆镜像全文    |  推荐本文 | | 获取馆网全文

英文篇名：Clinical features and treatment of patients with late-onset injuries in the 2008 Wenchuan earthquake 中文刊名：中国呼吸与危重监护杂志 英文刊名：Chinese Journal of Respiratory and Critical Care Medicine 作者：张中伟 ; 薛欣盛 ; 周琰 ; 康焰 英文作者：ZHANG Zhong-wei ; XUE Xin-sheng ; ZHOU Yan ; KANG Yan.Intensive Care Unit ; West China Hospital ; Sichuan University.Chengdu ; Sichuan ; 610041 ; China 中文关键词：地震 ; 迟发性损伤 ; 肝破裂 英文关键词：Earthquake ; Late-onset injury ; Liver rupture 出版日期：2008-07-25 机构：四川大学华西医院ICU; 年：2008 期：04 出版单位：中国呼吸与危重监护杂志

摘要

目的总结汶川地震中迟发性损伤患者的临床特点及处理。方法回顾性分析3例地震中迟发性损伤患者的诊治经过。结果病例1为创伤性迟发性膈疝伴发休克,经及时的诊断和手术处理后康复;病例2为创伤性迟发性肝破裂,经两次手术止血引流后好转;病例3为创伤性迟发性肝破裂,经手术和介入治疗出血减少,并发腹腔感染死亡。结论在地震伤员救治过程中应高度警惕迟发性损伤,积极合理的处理能降低病人的死亡率。
Objective To analyze clinical features and treatment of patients with late-onset injuries in the 2008 Wenchuan earthquake.Methods Clinical data of three patients with late-onset injuries were analyzed retrospectively.Results The first patient was compromised with late-onset traumatic diaphragmatic hernia complicated with shock.The second and third patients were suffered from late-onset traumatic hepatic rupture.After prompt surgery operation,the first and second subjects survived.Unfortunately,the third patient died of severe abdominal infection despite successful operation.ConclusionLate-onset organ injuries must be recognized and treated promptly.

引文

1崔忠厚.容易延误诊治的胸外科急症--创伤性膈肌破裂和膈疝.好医生继续医学教育中心,2005.
    2孙红文,周华.迟发性创伤性膈疝的诊治.医师进修杂志,2005,28:51-52.
    3贾明选,刘书文.创伤性迟发性膈疝诊治分析.河南外科学杂志,2008,14:70-71.
    4Hegarty MM,Bryer JV,Angorn IB,et al.Delaged presenta-tion of traumatic diaphraymatic hernia.Ann Surg,1978,188:229.
    5李波,戚代江.迟发型膈疝误诊为肠梗阻三例.中华创伤杂志,2005,21:97.
    6吴阶平,裘法祖,主编.黄家驯外科学.第5版.北京:人民出版社,1993.
    7裘法祖,主编.外科学.第3版.北京:人民卫生出版社,1984.
    8史海安.肝外伤的早期处理--早期诊断和抗休克.临床外科杂志,1993,1:13.
    9Cogbill TH,Moore EE,Jurovich GJ,et al.Severe bepatic trauma:Amuit-center experience with1335Liver injaries.J Trauma,1988,28:1433-1438.