• Jin-Mou Gao, Yun-Han Gao, Jian-Bo Zeng, Jian-Bai Wang, Ping He, Gong-Bin Wei, and Zhen Xiang.
• Department of Traumatology, Chongqing Emergency Medical Center, Chongqing 400014, China. gaojinmou2002@sina.com
• Chin. J. Traumatol. 2006 Apr 1; 9 (2): 108-14.

ObjectiveTo investigate the early diagnosis and treatment of polytrauma patients with thoracic and/or abdominal injuries.MethodsThe data of all polytrauma patients with thoracic and/or abdominal injuries during the past 10 years were studied retrospectively.ResultsIn the present study, there were 1 540 polytrauma patients, accounting for 65.0% of all 2 368 trauma patients. Of these patients, 62.4% were in shock state on admission. The operative rates were 15.0% (181/1 206) and 79.9% (612/766) in patients with thoracic and abdominal injury (P<0.01), 5.2% (39/758) and 31.7% (142/448) in patients with blunt and penetrating chest trauma (P<0.01), and 72.45% (359/496) and 93.7% (253/270) in patients with blunt and penetrating abdominal injuries (P<0.01), respectively. To deal with abdominal injury, angioembolization was performed in 43 cases, with 42 cured. The overall mortality rate was 6.2%. And in the blunt and penetrating subgroups, the mortalities were 7.9% (75/950) and 3.6% (21/590), respectively (P<0.01). Most patients died from exsanguination.ConclusionsThe first "golden hour" after trauma should be grasped, since the treatment in this hour can determine greatly whether the critically-injured victim could survive. Prompt diagnosis and proper treatment contribute more greatly to the survival of the victim than the severity of injury.

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