Analysis of diagnosis and treatment of 226 cases with severe multiple injuries in EICU
10.3760/cma.j.issn.1008-6706.2015.21.028
- VernacularTitle:严重多发伤226例诊治分析
- Author:
Mingwei HUANG
;
Gang CHEN
;
Laifa KONG
;
Deyi ZHANG
;
Xiaowei NI
;
Jian WANG
;
Wenlin XIE
- Publication Type:Journal Article
- Keywords:
Severe multiple injuries;
Emergency intensive care unit
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(21):3289-3291
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the strategies of diagnosis and treatment of severe multiple injuries in Emergency Intensive Care Unit (EICU).Methods The clinical data of 226 patients with severe multiple injuries were analyzed retrospectively.188 patients were treated by surgical operation,and 38 patients were not treated by surgical operation.Results Among these patients,46 patients (accounted for 20.3%)were with pulmonary infection and atelectasis,41 patients (accounting for 18.1%)were with multiple -organ dysfunction syndrome (MODS), 35 patients (accounted for 15.5%)were with acute respiratory distress syndrome (ARDS),and 19 patients (accounted for 8.4%)were with stress ulceration and bleeding.198 patients (accounted for 87.6%)were successfully rescued, and 28 patients (accounted for 12.3%)died.The main cause of death in the early stage was the serious craniocerebral injury,and the main cause of death in the later stage was the multiple -organ dysfunction.Conclusion EICU plays a very important role in comprehensive treatment of severe multiple injuries,and can obviously increase the success rate of treatment and cure of severe multiple injuries.
