严重胸部损伤的早期诊断和处理(附132例分析)  

EARLY DIAGNOSIS AND TREATMENT FOR MAJOR THORACIC TRAUMA: ANALYSIS OF 132 CASES

作　　者：谷力加[1] 麦惠成[1] 苏振邦[1] 

机构地区：[1]中山医科大学附属第三医院胸心外科,510630

出　　处：《广东医学》1996年第4期220-222,共3页Guangdong Medical Journal

摘　　要：本文对132例严重胸部损伤在急诊室的早期诊断和处理进行分析。针对合并休克、呼吸功能不全、昏迷的严重胸部损伤提出具体的早期诊治步骤。并认为胸腹穿刺、心包穿刺、胸腔闭式引流及气管内插管、呼吸机辅助呼吸是早期判断病因,进行鉴别诊断最简便、确切的手段,也是最有效的早期治疗措施。对休克代偿期,脑缺氧性昏迷应有足够认识,避免病情未稳定前过份依赖辅助检查。本组死亡28例,死亡率21.2%。直接死于胸部损伤15例,其中因辅助检查延误时间死亡5例,占胸部损伤死亡率33.3%。This paper resports early diagnosis and treatment for 132 patients with major chest trauma. The procedures of early diagnosis and treatment are described for major chest trauma associated with shock, respiration insufficiency and coma. It is suggested that abdommocentesis, thoracentesis, pericardioeentesis thacheal cannula, dosed thoracic drainage and assisted respiration of respirator are effective and clear measure for, early judgment of curse of disease, defferential diagnosis and treatment. The pre-shock stage, coma of cerebral hypoxia must be cognize sufficiently and protect excessive accessory examination. Of 132 patients, 28 have died of excessive accessory examination with a mortality of 33.3%.

关 键 词：胸部损伤 早期诊断 治疗 诊断 

分 类 号：R655.04[医药卫生—外科学]