重症胸外伤93例救治体会  

Treatment of severe thoracic trauma experience of 93 cases

作　　者：毕克毅[1] 王志强[1] 王俊杰[1] 徐瑞剑[1] 

机构地区：[1]内蒙古包钢医院心胸外科,内蒙古包头014010

出　　处：《中国现代医学杂志》2012年第3期56-58,共3页China Journal of Modern Medicine

摘　　要：目的探讨重症胸外伤的救治方法。方法利用回顾性分析方法对该院近5年来救治的93例重症胸外伤病例资料进行总结分析。治疗采用胸部护板固定、胸腔穿刺、胸腔闭式引流、剖胸探查、肋骨骨折复位肋骨钛板固定、损伤脏器修补或切除、纤维支气管镜吸痰,气管切开及呼吸机辅助呼吸等方法治疗重症胸外伤及其并发症。结果该组93例重症胸外伤中,治愈91例(98%),死亡2例(2%)。其中死于合并重型颅脑伤1例,死于合并心脏刀刺伤1例。结论重症胸外伤的治疗重在早期诊断、早期治疗,正确掌握机械辅助通气及气管切开时机,并及时处理多发伤和休克等是救治重症胸外伤成功的关键。[ Objective ] To investigate the treatment approach for severe chest trauma. [ Methods ] A retrospective analysis of hospital treatment of the past five years 93 cases of severe chest trauma, a cases data were analyzed. Treatment with a fixed chest guard, chest puncture, thoracic drainage, exploratory thoracotomy, rib fractures ribs titanium plate fixation, repair or removal of damaged organs, bronchoscopy, tracheotomy and ventilator-assisted breathing and other methods treatment of severe chest trauma and its complications. [ Results ] The group of 93 patieuts with severe chest trauma, the cure 91 cases 08%） and 2deaths （2%）. One died of severe head injury in 1 case combined, died with cardiac stab wound in 1 case. [ Conclusion ] Focuses on the treatment of severe chest trauma of early diagnosis, early treatment, proper understanding of mechanical ventilation and tracheotomy timing, and the timely processing f multiple injuries and shock treatment of severe thoracic trauma is the key to success.

关 键 词：重症胸外伤 合并伤 机械辅助通气 气管切开 

分 类 号：R655[医药卫生—外科学]