Management of multiple trauma with mainly thoracic and abdominal injuries: a report of 1166 cases

ObjectiveTo discuss the diagnosis and treatment of multiple trauma with mainlythoracic and abdominal injuries.MethodsA retrospective analysis was performed on data of multiple trauma cases with mainly thoracic and/or abdominal injuries.ResultsOf 1166 cases, 72.3% were found with shock. Theoperation ratesofthoracicand abdominalinjurieswere14.8% (119/804) and 83.5% (710/850) respectively (χ2=780.683, P <0.01). The operation rates of blunt and penetrating thoracic injuries was 6.8% (42/617) and 40.6% (76/187) respectively (χ2=131.701, P<0.01). The operation rates of blunt and penetrating abdominalinjurieswere77.1% (434/563) and 96.1% (276/287) respectively (χ2=50.302, P<0.01). Theoperation rates of blunt thoracio-abdominal injuries were 6.8% (42/617) in thoracic region and 77.1% (434/563) in abdomen respectively (χ2=544.043, P<0.01). Among the cases of abdominal injuries, 41 received arteriography embolism, with the efficacy of 95.1% (39/41). Total mortality rate was 6.1%. The mortality rates of blunt and penetrating injuries were 7.3% (62/854) and 2.9% (9/312) (χ2=6.51, P