严重胸部外伤和复合性外伤的救治效果观察  

Efficacy Observation on Remedy of Severe and Compound Thoracic Trauma

作　　者：陈祖尧[1] 任守阳[1] 黄健[1] 邓建华[1] 

机构地区：[1]都江堰市医疗中心,四川都江堰611830

出　　处：《按摩与康复医学》2014年第12期34-35,共2页Chinese Manipulation and Rehabilitation Medicine

基　　金：基金项目：四川省科技厅资助项目,编号：2011FZ0143

摘　　要：目的：研究严重胸部外伤和复合性外伤的临床抢救与治疗模式。方法：严重胸部外伤和复合性外伤患者分为三组，对照组A第一时间吸氧并控制吸氧量，根据病情展开抢救并合理应用呼吸机；对照组B接诊后观察病情，判断呼吸状态后展开急救；观察组在对照组基础上加用接诊处理；比较三组疗效及生存评分。结果：观察组治愈率及死亡率均显著优于对照组A及对照组B（P〈0.05）；观察组生存患者Fugl-Meyer及Barthel评分均显著高于对照组A及对照组B的生存患者（P〈0.05）。结论：临床救治严重胸部外伤和复合性外伤患者应注重及时性与准确性，在保障患者正常呼吸的前提下针对性急救。Objective：To study the clinical salvage and treatment of severe and compound thoracic trauma. Methods：Patients were divided into three groups, control group A firstly treated with oxygen and controlled the amount of oxygen, based on the condition rescued and reasonably applied venti-lator;control group B observed the condition after reception, started first-aid after judging the breathing state;based on control group observation group added reception processing;the curative effect and survival score of three groups were compared. Results：The cure rate and mortality of obser-vation group were significantly better than those of control group A and B （P〈0.05）;Fugl-Meyer and Barthel scores of survived patients of observa-tion group were significantly higher than those of control group A and B （P〈0.05）. Conclusion：Clinical treatment of severe and compound thoracic trauma should be in time and accurate, with first-aid under the premise of ensuring patients breathe normally.

关 键 词：复合性外伤 严重胸部外伤 接诊处理 对症处理 

分 类 号：R641[医药卫生—外科学]