【摘要】 目的 总结胸腹联合损伤的早期诊断与治疗体会。方法 回顾性分析我院1996年8月～2006年8月收治的胸腹联合伤病例72例。结果 入院后早期死亡7例，其余65例中行开胸手术22例，胸腔闭式引流+开腹手术37例，同时胸部和腹部切口4例，经胸腹联合切口2例。术后发生成人呼吸窘迫综合征6例，死亡2例。本组治愈63例(87.5%)，死亡9例(12.5%)。结论 胸腹联合伤病情重，表现复杂；无论是开放性胸腹联合伤或是闭合性胸腹联合伤应及早做出诊断，积极抗休克的同时立即手术治疗，术后要合理使用抗生素，积极改善全身情况是减少死亡，提高救治效果的关键。

    【关键词】 胸部损伤；腹部损伤；抗休克；手术；引流

     【Abstract】 Objective To explore the early diagnosis and remedy of combined thoraco-abdomina wound.Methods 72 cases of combined thoraco-abdominal wounds admitted from August 1996 to August 2006 were reviewed retrospectively.Results 7 cases early died in emergency room,remnant 65 cases were enforced operation to open chest in 22 cases,closed drainage of thoracic cavity add to open abdomen in 37 cases,simultaneous chest and abdominal incision 4 cases,to undergo thoraco-abdominal incision 2cases,6 cases adult respiratory distress syndrome occured; 2case death.63 cases of this group were healing well (87.5%),death 9 cases(12.5%).Conclusion Combined thoraco-abdominal wounds pathogenetic condition severity,appearance complex;no matter patent combined thoraco-abdominal wound or closed combined thoracoabdminal wound ought to araly make diagnosis,energetic antishock meanwhile immediately enforce operation,rational use of antibiotics after operation,energetic amelioration all over the body conditions is the key of decrease death rate and elevate remedy results. ......