胸部护板在治疗36例多发肋骨骨折合并局部反常呼吸的作用分析  

The role of chest backplate in treating multiple rib fractures in patients with focal abnormal breathing： analysis of 36 cases

作　　者：廖志敏[1] 黄维江[1] 胡磊[1] 郑威[1] 庞一雄[1] 

机构地区：[1]432100,湖北省孝感市中心医院胸心外科

出　　处：《中国医师进修杂志》2015年第1期51-53,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 评价胸部护板在治疗多发肋骨骨折合并局部反常呼吸患者中的作用.方法 应用Chrisofix胸部护板对36例多根多处肋骨骨折合并局部反常呼吸的患者进行治疗,分析治疗效果.结果 36例患者中34例通过胸部护板等保守治疗治愈,2例行肋骨内固定手术治愈.所有患者在应用胸部护板前后进行疼痛强度量表评分,分别为（8.1±0.7）分和（5.2±0.5）分,差异有统计学意义（P＜0.01）.7例患者出现护板周围皮肤水泡形成,注射器抽吸后用活力碘纱布覆盖,外加布制固定带固定,无患者因对护板过敏而终止治疗.结论 胸部护板外固定治疗合并局部反常呼吸但不需要开胸探查的多发肋骨骨折效果良好,使用方便,价格便宜,值得在临床大力推广应用.Objective To evaluate the effect of chest backplate in treating multiple rib fractures in patients with focal abnormal breathing.Methods The clinical data of 36 patients with multiple rib fractures and focal abnormal breathing who were treated by Chrisofix chest backplate were analyzed.Results Thirtyfour patients were cured by chest backplate and other conservative treatments,and 2 patients underwent rib internal fixation surgery.The numeric rating scales scores before and after the application of the chest backplate were （8.1 ± 0.7） scores and （5.2 ± 0.5） scores respectively（P 〈 0.01）.Seven patients had skin blisters forming around the shield,which were cured by liquid extraction with a syringe and gauze covered with povidone iodine.No patients stopped treatment because of allergy.Conclusions Chest backplate is an effective,easy and inexpensive method for patient with multiple rib fractures and focal abnormal breathing who doesn＆#39;t need exploratory thoracotomy.It is worthy to spread in clinical treatment.

关 键 词：肋骨骨折 连枷胸 反常呼吸 胸部护板 保守治疗 

分 类 号：R655[医药卫生—外科学]