【摘要】 目的 探讨小儿胸腹联合伤的诊断与治疗方法。 方法 回顾分析6年间收治的14例小儿重症胸腹联合伤。 结果 13例得以及时手术，无特殊并发症，12例治愈，2例死亡。 结论 小儿胸腹联合伤病情危急、复杂、进展快，常为多部位、多器官损伤;胸腹腔穿刺是一简便有效的诊断方法，胸腔闭式引流和剖腹探查术是主要治疗手段;呼吸窘迫综合征和失血性休克是主要的死亡原因。尽早确诊及及时合理的术式是抢救成功的关键。

    【关键词】 小儿;胸腹联合伤

    The therapeutic understanding of children thoracic-abdominal trauma

    WU Si-ming，ZHU Xiong-bing.

    The people's Hospital of Tongcheng，Hubei437400，China

    【Abstract】 Objective To explore the diagnostic and treatment methods.Methods Fourteen children cases with severe combined thoracic-abdominal wound for6years were reviewed.Results 13cases were operated promptly，no special complication was found;12cases were cured and2cases died.Conclusion Child combined thoracic-ab-dominal wound is urgent，complicated and rapidly progressive ......