title: Management of multiple trauma with mainly thoracic and abdominal injuries: a report of 1166 cases.
abstract: OBJECTIVE
  To discuss the diagnosis and treatment of multiple trauma with mainly thoracic and abdominal injuries.
  
  
  METHODS
  A retrospective analysis was performed on data of multiple trauma cases with mainly thoracic and/or abdominal injuries.
  
  
  RESULTS
  Of 1166 cases, 72.3% were found with shock. The operation rates of thoracic and abdominal injuries were 14.8% (119/804) and 83.5% (710/850) respectively (X(2) equal to 780.683, P less than 0.01). The operation rates of blunt and penetrating thoracic injuries was 6.8% (42/617) and 40.6% (76/187) respectively (X(2) equal to 131.701, P less than 0.01). The operation rates of blunt and penetrating abdominal injuries were 77.1% (434/563) and 96.1% (276/287) respectively (X(2) equal to 50.302, P less than 0.01). The operation rates of blunt thoracio-abdominal injuries were 6.8% (42/617) in thoracic region and 77.1% (434/563) in abdomen respectively (X(2) equal to 544.043, P less than 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) (X(2) equal to 6.51, P less than 0.005). The deaths were mainly due to large volume of blood loss.
  
  
  CONCLUSIONS
  When both thoracic and abdominal injuries exist, laparotomy is frequently required rather than thoracotomy. Laparotomy is seldomly used for blunt thoracic injuries, but usually used for penetrating thoracic and abdominal injuries. Mortality rate of penetrating thoracic and abdominal injuries is markedly lower than that of blunt injuries. Surgical operation is still important for those patients with penetrating thoracic or abdominal injuries.
authors.affiliation: Department of Traumatology, Emergency Medical Center of Chongqing, Chongqing 400014, China. yangjun@1970399@sina.com.cn
authors.forename: Jun
authors.initials: J
authors.lastname: Yang
authors.forename: Jin-Mou
authors.initials: JM
authors.lastname: Gao
authors.forename: Ping
authors.initials: P
authors.lastname: Hu
authors.forename: Chang-Hua
authors.initials: CH
authors.lastname: Li
authors.forename: Shan-Hong
authors.initials: SH
authors.lastname: Zhao
authors.forename: Xi
authors.initials: X
authors.lastname: Lin