外伤性延迟性血气胸的诊治  

Diagnosis and the treatment of delayed hematopneumothorax

作　　者：洪卫东[1] 卢金山[1] 陈健[1] 

机构地区：[1]安徽医科大学滁州临床学院心胸外科,滁州239000

出　　处：《安徽医学》2010年第1期52-54,共3页Anhui Medical Journal

摘　　要：目的总结胸部外伤后延迟性血气胸的诊治经验。方法详细体格检查,监测生命体征,定时摄床边胸片复查,必要时行胸腔穿刺、胸腔闭式引流、剖胸手术。结果82例延迟性血气胸均得到及时诊断和治疗,其中77例治愈,5例因分别合并严重颅脑外伤、失血性休克、ARDS而死亡。结论胸部外伤或多发伤患者要考虑到发生延迟性血气胸的可能性,严密监测,及时复查,及时采取胸腔穿刺或引流等抢救措施,大多数延迟性血气胸转归良好。Objective To discuss clinical experiences of diagnosis and treatment of thoracic post-traumatic delayed Hematopneumothorax. Methods Using a detailed physical examination with careful live observation of thoracic X-ray graphics for the care of the symptoms and if necessary a thoracentesis/introduction. Results All 82 patients have been diagnosed and treated immediately, 77 cases had full recovery, and 5 cases died of severe brain injury, shock or ARDS. Conclusion While treating the patients of thorax injury or multiple injuries, we should consider the possibility of delayed Hematopneumothorax procedure, take care of the patients, review them in time, and then take the salvage measure of thoracentesis and thoracostomy. The majority of delayed Hematopneumothorax could be diagnosed and treated immediately.

关 键 词：胸部外伤 延迟性血气胸 诊断 

分 类 号：R655[医药卫生—外科学]