【摘要】 目的 总结胸腹联合伤的诊断与手术治疗经验。 方法 对1993～2003年收治的36例胸腹联合伤病例进行回顾性分析。 结果 开胸手术15例，胸腔闭式引流加开腹手术21例。治愈34例，死亡2例(6%)，死亡病例均因心血管损伤严重失血性休克。 结论 胸腹联合伤病情重，临床表现复杂，早期正确诊断、及时和合理的手术治疗是减少死亡率、提高救治水平的关键。积极抗休克，重症监护和防治并发症等非常重要。

    关键词 联合伤 诊断 手术 闭式引流

    Diagnosis and surgical treatment in36patients with thoraco-abdominal injuries

    Fu Jingwei

    Department of Surgery，Hospital of Mentougou District，Beijing102300

    【Abstract】 Objective To sum up the experience of diagnosis and surgical procedure for thoraco-abdominal injuries.Methods Total36cases of thoraco-abdominal injuries treated from1993to2003were analyzed retrospec-tively.Results Thoracic explorations and thoracic drainaged with abdominal operations were carried out in15cases and21cases respectively.34cases were cured and2cases(5%)died of large cardiac blood vessel injuries and exces-sive blood loss.Conclusion The thoraco-abdominel injuries is very serious illness and it's important to make early diagnosis.Surgical procedure ......