合并腹部脏器损伤的严重多发性创伤急诊救治效果

王峰

[摘要] 目的 分析急診救治合并腹部脏器损伤的严重多发性创伤的效果。方法 在该院患者中随机选取2018年6月—2019年6月60例合并腹部脏器损伤的严重多发性创伤患者作为该次研究对象，统计他们的抢救有效率和病死率，分析术后的并发症发生率，对比急诊患者和常规治疗患者的住院时间和病死率，分析急诊救治合并腹部脏器损伤的严重多发性创伤患者的效果。结果 通过各种手段对60例患者的救治后，有57例患者抢救成功，抢救成功率为95%，3例患者在急诊治疗中死亡，病死率为5%。在患者的术后有6例患者有术后并发症，并发症发生率为10%。急诊手术患者和采取常规保守治疗患者的住院时间对比差异无统计学意义（t=0.870，P>0.05）。急诊手术患者和采取常规保守治疗患者的病死率对比差异无统计学意义（χ2=0.000，P>0.05）。结论 临床对合并腹部脏器损伤的严重多发性创伤患者的治疗手段应根据患者的损伤选择合适的治疗方案，采用急诊治疗有着较高的抢救成功率和较低的并发症发生率，但临床急诊手术治疗与常规保守治疗的病死率差异不大，应合理选择治疗方法，以降低患者的病死率和住院时间。

[关键词] 腹部脏器损伤;严重多发性创伤;急诊

[中图分类号] R641          [文献标识码] A          [文章编号] 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