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汶川地震中迟发性损伤临床特点分析及处理

Clinical features and treatment of patients with late-onset injuries in the 2008 Wenchuan earthquake

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【作者】 张中伟薛欣盛周琰康焰

【Author】 ZHANG Zhong-wei,XUE Xin-sheng,ZHOU Yan,KANG Yan.Intensive Care Unit,West China Hospital,Sichuan University.Chengdu,Sichuan,610041,China

【机构】 四川大学华西医院ICU

【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。

【Abstract】 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.

【关键词】 地震迟发性损伤肝破裂
【Key words】 EarthquakeLate-onset injuryLiver rupture
  • 【文献出处】 中国呼吸与危重监护杂志 ,Chinese Journal of Respiratory and Critical Care Medicine , 编辑部邮箱 ,2008年04期
  • 【分类号】R641
  • 【下载频次】78
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