合并腹部臟器損傷的嚴重多發性創傷急診救治效果

王峰

[摘要] 目的 分析急診救治合并腹部臟器損傷的嚴重多發性創傷的效果。方法 在該院患者中隨機選取2018年6月—2019年6月60例合并腹部臟器損傷的嚴重多發性創傷患者作為該次研究對象，統計他們的搶救有效率和病死率，分析術后的并發癥發生率，對比急診患者和常規治療患者的住院時間和病死率，分析急診救治合并腹部臟器損傷的嚴重多發性創傷患者的效果。結果 通過各種手段對60例患者的救治后，有57例患者搶救成功，搶救成功率為95%，3例患者在急診治療中死亡，病死率為5%。在患者的術后有6例患者有術后并發癥，并發癥發生率為10%。急診手術患者和采取常規保守治療患者的住院時間對比差異無統計學意義（t=0.870，P>0.05）。急診手術患者和采取常規保守治療患者的病死率對比差異無統計學意義（χ2=0.000，P>0.05）。結論 臨床對合并腹部臟器損傷的嚴重多發性創傷患者的治療手段應根據患者的損傷選擇合適的治療方案，采用急診治療有著較高的搶救成功率和較低的并發癥發生率，但臨床急診手術治療與常規保守治療的病死率差異不大，應合理選擇治療方法，以降低患者的病死率和住院時間。

[關鍵詞] 腹部臟器損傷;嚴重多發性創傷;急診

[中圖分類號] R641? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742（2020）07（c）-0041-03

[Abstract] Objective To analyze the effect of emergency treatment of severe multiple trauma combined with abdominal organ injury. Methods A total of 60 patients with severe multiple trauma combined with abdominal organ injury from June 2018 to June 2019 were randomly selected as the subjects of this study. Their rescue efficiency and mortality were counted， and postoperative incidence of complications was compared with the hospitalization time and mortality of emergency patients and conventionally treated patients， and the effect of emergency treatment on severe multiple trauma patients with abdominal organ injuries was analyzed. Results After 60 patients were rescued by various means， 57 patients were rescued successfully， the rescue rate was 95%， 3 patients died during emergency treatment， and the mortality rate was 5%. Six patients had postoperative complications after the operation， and the complication rate was 10%. There was no significant difference in the length of hospital stay between patients undergoing emergency surgery and those undergoing conventional conservative treatment （t=0.870， P>0.05）. There was no significant difference in mortality between emergency surgery patients and patients taking conventional conservative treatment （χ2=0.000， P>0.05）. Conclusion The clinical treatment of patients with severe multiple trauma combined with abdominal organ injury should choose the appropriate treatment plan according to the patient's injury. Emergency treatment has a higher rescue success rate and a lower complication rate， but there is not much difference in mortality between clinical emergency surgical treatment and conventional conservative treatment， and the treatment method should be selected reasonably to reduce the mortality and length of hospitalization of patients.

[Key words] Abdominal organ injury; Severe multiple trauma; Emergency department