创伤性胸外伤的临床诊治体会  

Clinical Diagnosis and Treatment of Thorax Injury

作　　者：钟金龙[1] 钮海弟[1] 徐善明[1] 陈喜云[1] 刘景田[1] 

机构地区：[1]复旦大学附属金山医院胸外科,上海200540

出　　处：《中国临床医学》2007年第5期640-641,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:总结分析胸部外伤的诊治特点。方法:回顾分析760例胸部外伤程度及治疗情况,其中肋骨骨折,肺挫伤,血气胸常见,伴有颅脑损伤和腹部闭合伤。结果:治愈741例。心脏破裂抢救成功1例,死亡3例;复合伤引起死亡16例。结论:创伤所致胸外伤病情危急,具体分析致伤原因及根据临床体征检查,迅速作出诊断和快速救治是关键,合并颅脑损伤、腹部脏器损伤、急性呼吸窘迫综合征(ARDS)是其主要死亡原因。Objective：To review the clinical experience of diagnosis and treatment in thorax injury. Methods：Clinical data of 760 cases with thorax injury,including rib fracture; pulmomary contusion; hemothorax andpneumothorax; also with complicated injury such as contusion of brain, abdominal injury were analysed restropectively. Results： Among 760 cases, 741 cases were cured. Only one heart repture survived by emergency operation,the rest 3 cases died. The complicated injury caused 16 death. Conclusion：Thorax injury is usually emergency,it is imperative to be diagnosed rapidly and detailly, controll life-threatening injury positively. The main cause of death is complicated with ARDS, contusion of brain and abdominal injury.

关 键 词：胸外伤 肋骨骨折 肺挫伤 血胸 气胸 复合伤 

分 类 号：R655[医药卫生—外科学]