胸部外伤142例诊治体会  

Experience of diagnosis and treatment of chest trauma

作　　者：姜明[1] 

机构地区：[1]江都市人民医院胸外科,江苏江都225200

出　　处：《海南医学》2011年第23期110-111,共2页Hainan Medical Journal

摘　　要：目的探讨胸部外伤的临床特点和诊治体会。方法分析142例胸部外伤病例的致伤原因、损伤类型、诊断和治疗过程。致伤原因以交通事故和高处坠落为主,损伤类型主要为多发性肋骨骨折,或伴有血气胸及肺挫伤等。结果 142例病例均以胸部CT检查明确诊断;治疗主要以非手术治疗,其中血胸以B超定位胸腔穿刺抽液治疗为主;全组病例治愈140例、死亡2例。结论胸部外伤患者病情变化较快,宜及早行CT检查进一步明确诊断;治疗大多数以非手术结合B超定位胸腔穿刺抽液,均能治愈,多发伤患者需多科协助诊治以降低死亡率。Objective To discuss the clinical features, diagnosis and treatment of chest trauma. Methods The causes of injury, types of injury, diagnosis and treatment in 142 cases with chest trauma were analyzed retrospectively. Results The main causes of injury were traffic accident and high fall. The types of injury were mainly fracture of multiple ribs accompany with hemopneumothorax and pulmonary contusion. All 142 cases were finally diagnosed by CT scanning. Most of the cases were received non-operative treatment and hemothorax patients were mainly received thoracentesis by B-mode ultrasonography orientation. Among them, 140 cases were cured and 2 cases were dead. Conclusion The pathogenetic condition of chest trauma changed quickly and CT scanning should be used early to diagnose finally. Most of the cases can be cured by non-operative treatment and thoracentesis by B-mode ultrasonography orientation. Multiple injury patients should be diagnosed and treated by several departments in order to reduce death rate.

关 键 词：胸部外伤 血胸 胸腔穿刺 B超定位 

分 类 号：R655[医药卫生—外科学]