胸外伤救治及护理  

Emergency treatment and nursing of thoracic injury

作　　者：张惠欣 王兰 郭春花 郭敏 戴君雁 

机构地区：第四军医大学吉林军医学院附属医院心胸外科，吉林吉林132013

出　　处：《第四军医大学吉林军医学院学报（86813X）》2002年第2期103-104,106,共3页Journal of Jilin Military Medical College Fourth Military Medical University

摘　　要：目的分析胸外伤特点，提高救治中的护理成功率。方法对1251例胸外伤患者的伤情进行分析，总结护理经验。结果经积极治疗和护理后有1229例患者存活(占98．2％)，死亡22例(占1．8％)；在死亡人数中，按胸伤及合并伤的伤情分为：心脏大血管损伤死亡3例(占13．6％)，胸腹联合伤死亡4例(占18．2％)，胸伤合并多部位伤死亡13例(占59．1％)，其它死亡2例(占9．1％)；若按治疗时间分为：早期失血性休克死亡4例(占18．2％)，严重颅脑伤死亡3例(占13．6％)；中晚期呼吸窘迫综合征(ARDS)死亡6例(占27．3％)，多脏器功能不全死亡5例(占22．7％)，心力衰竭死亡3例(占13．6％)，中毒性休克死亡1例(占4．5％)。结论胸外伤死亡率较高，救治及护理过程均需综合考虑，处理分轻重缓急，并注意合并伤；同时加强对并发症的防治。Objective To analyse the characteristics of thoracic injury and improve the success rate of nursing in rescue and treatment.Methods The injury conditions of 1 251 such cases wereanalyzed for summing up nursing experiences.Results With active treatment and nursing,1 229 cases survived(98.2 %) while 22 cases died( 1.8 %);according to the conditions of chest injury and combined injury of the dead cases,3 cases were caused by injury of heart great vessels(13.6 %),and 3 cases was caused by combined thoracic...

关 键 词：死亡 胸外伤 救治 护理 合并伤 伤情 患者 治疗 存活 防治 

分 类 号：R655[医药卫生—外科学] R473[医药卫生—临床医学]