Comparative Study of Thoracoabdominal Combined Injuries and Thora-coabdominal Multiple Injuries
10.3969/j.issn.1673-9701.2009.17.002
- VernacularTitle:胸腹联合伤与胸腹多发伤的比较研究
- Author:
Keke LI
1
;
Qingqing SONG
;
Wenfeng LIU
;
Xinqing ZHAN
;
Qiming YANG
Author Information
1. 福建医科大学南平市第一医院教学医院
- Keywords:
Thoracic injuries;
Abdominal injuries;
Multiple trauma;
Combined injuries;
Trauma scores
- From:
China Modern Doctor
2009;47(17):3-4,6
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical features and severity of thoracoabdominal combined injuries(TACI) and thoracoabdominal multiple injuries(TAMI) so as to guide the diagnosis and management of trauma. Methods A total of 167 cases of chest trauma complicated by abdominal trauma were reviewed and divided into two groups. Group TACI(132 cases) was associated with diaphragmatic rupture but group TAMI(35 eascs)not. The injury features and the clinical characteristics of both groups were analyzed and the trauma severity of two groups e-valuated by trauma score system. Results The overall mortality was 9.6 %(16/167)of all the cases. The mortality was 14.3% in group TACI (5/35)and 8.3% in group TAMI(11/132). There was no significant difference in revised trauma score(RTS) and thoracic Abbreviated Injury Scale(MS) between the two greups(P> 0.05),but the patients in the TACI group had higher Glasgow Coma Scale(C, CS)and abdominal AIS (P < 0.05), and the patients in the TACI group had higher injury severity scale (ISS) (P < 0.01). Conclusion TACI and TAMI have differ-ence in clinical characteristics,injury severity and treatment results. So it is necessary to take different measurements to reduce the complica-tions and improve the prognosis.
