多发性肋骨骨折临床治疗对比  

作　　者：臧林[1] 金结[1] 陈山[1] 

机构地区：[1]安徽省铜陵市人民医院心胸外科,244000

出　　处：《中国保健营养（临床医学学刊）》2008年第8期24-26,共3页China Health Care Nutrtion

摘　　要：探讨多发性肋骨骨折的临床特征及治疗。回顾分析2003年元月至2007年我科收治的488例多发性肋骨骨折患者的临床特点及诊治。行呼吸机内固定治疗11例。治愈485例（99.38％），死亡3例（0．67％）。结论在创伤性连枷胸中，肺挫伤和反常呼吸是引起呼吸功能障碍的重要原因。在控制浮动胸壁时应选择合适的方法。机械通气有一定的适应症。Objective To investigate characteristics and treatment of multiple rib fracture. Methods The clinical data of 488 cases with multiple rib fracture in our unit from januarg 2003 to Dec 2007 werestudied retrospectively. Results 485 cases were cured（99.38%）3 cases died （0;62%） . 11 cases were treated with respirator. Conclusion Rulmonary contusion and paradoxical respiratory movement are the important causes resulting in respiratorg dysfunction of traumatic flail chest. Suitable methods should be chosen in controlling chest wall flootmg. The appliacation of mechanical ventialation should have cortain indications.

关 键 词：多发性肋骨骨折 连枷胸 肺挫伤 机械通气 

分 类 号：R683.1[医药卫生—骨科学]