116例胸部交通伤的损伤特点及救治分析  

Analysis of the Characteristics and Treatment of 116 Cases with Thoracic Injuries in Traffic Accident

作　　者：张志勇[1] 郭梦和[1] 李广文[1] 孙新[1] 朱斌[1] 宿学家[1] 陈克彪 公斌 

机构地区：[1]山东省泰安市解放军88医院胸外科,泰安271000

出　　处：《创伤外科杂志》2000年第1期13-14,共2页Journal of Traumatic Surgery

摘　　要：目的　总结胸部交通伤的损伤特点及救治经验。方法　对近年收治的 116例胸部交通伤病例资料进行分析。结果　汽车与摩托车碰撞事故中胸部损伤发生率最高 ;116例胸部交通伤中 ,摩托车驾驶员、骑自行车人和行人占 81例(6 9.8% ) ,多发伤和严重损伤发生率高于汽车内乘员 ;胸部交通伤主要为肋骨骨折和肺挫伤出血。结论　摩托车驾驶员、骑自行车人和行人是胸部交通伤的主要受累人群 ,张力性气胸、连枷胸。? Objective To summarize the characteristics and therapeutic experience of thoracic traffic injuries.Methods The data of 116 cases with thoracic traffic injuries admitted to our hospital in recent years were analyzed.Results The thoracic injuries in the accident between automobile and motorcycle ranked the highest morbility.Eighty-one (69.8%) of 116 patients were motorcycle drivers,bicycle riders and pedestrians, in which the multiple and severe injuries were more common than those injured in automobile.The main features of thoracic traffic injury were the fracture of ribs,contusion and hemorrhage of lungs.Conclusion Motorcycle drivers,bicycle riders and pedestrians were the main people suffered from thoracic traffic injury.The emergency treatment of tense pneumatothorax,flail chest and shock was the key to improve the cure rate. 〔

关 键 词：交通伤 胸部 流行病学 救治 

分 类 号：R64[医药卫生—外科学] R655[医药卫生—临床医学]