连枷胸伴肺挫伤92例外科治疗体会  

Surgical Treatment of 92 Cases of Flail Chest with Pulmonary Contusion

作　　者：李谦平[1] 张军[2] 王建军[1] 郭海周[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院胸外科,湖北武汉430022 [2]湖北医药学院附属太和医院胸心外科,湖北十堰442000

出　　处：《医学临床研究》2012年第4期600-602,共3页Journal of Clinical Research

基　　金：湖北省教育厅科学技术研究项目（NO：B20112116）

摘　　要：[目的]总结重症胸外伤连枷胸伴肺挫伤的临床经验.[方法] 回顾分析2006年1月至2011年6月期间在本院诊治的连枷胸伴肺挫伤92例,其中通过手术进行肺修补,胸腔血肿清除,同时应用记忆合金环抱式接骨板对重点肋骨骨折行内固定等治疗的52例,与同期非手术组40例比较,比较其临床疗效.[结果] 随访3～6个月,所有病例均治愈,全组无死亡病例.手术组胸廓畸形率、住院时间、抗生素使用时间、ICU住院时间、中度以上的疼痛、呼吸支持天数、肺部感染率均明显低于非手术组（P〈0.05,P〈0.01）.[结论]应用记忆合金环抱式接骨板行重点部位肋骨骨折内固定治疗连枷胸伴肺挫伤,可以减少并发症,有利于患者的快速康复.[Objective]To summarize the clinical experience of severe flail chest with pulmonary contusion after thoracic trauma. [Methods]Clinical data of 92 patients with flail chest and pulmonary contusion in our hospital from January 2006 to June 2011 were analyzed retrospectively. Among them, 52 patients underwent surgery including lung repair, hematoma clearance and the internal fixation of key fractured rib with memory alloy encircling compressive connector. The clinical efficacy was compared between surgery group and non-surgery group（ n =40）. [Results] All patients were cured and followed up for 3 to 6 months without death pa- tients. Thoracic deformity, length of stay, the duration of antibiotic use, ICU stay and moderate to severe pain in surgery group were significantly lower than those in non-surgery group. In surgery group, thoracic stability increased and abnormal breathing was Obviously cured. [Conclusion]Internal fixation of key fractured rib with memory alloy encircling compressive connector for the treatment of flail chest and pulmonary contusion can decrease the complications and is benefit for rapid rehabilitation of patients.

关 键 词：连枷胸/并发症 连枷胸/外科学 挫伤/外科学 肺/损伤 

分 类 号：R655.023[医药卫生—外科学]