严重胸部外伤患者胸腔感染的临床诊断治疗研究  

Clinical diagnosis and treatment of severe thoracic trauma complicated with pleural infections

作　　者：司保达 薛桂华[2] 

机构地区：[1]聊城市中医医院外一科,山东聊城252000 [2]聊城市人民医院胸心外科,山东聊城252000

出　　处：《中华医院感染学杂志》2015年第23期5435-5437,共3页Chinese Journal of Nosocomiology

基　　金：山东省科科技厅基金资助项目(卫2005-3-4-2)

摘　　要：目的探讨严重胸部外伤并发胸腔感染的临床诊治方法及效果,为临床治疗提供参考依据。方法选取医院2013年1月-2014年5月收治的88例严重胸部外伤患者,将其随机平均分为胸腔镜清创引流手术组和开胸清创引流手术组,各44例,比较两组患者临床资料及胸腔感染率,数据采用SPSS 13.0软件进行统计分析。结果胸腔镜清创引流手术患者的胸腔感染发生率4.5%,明显低于开胸手术组的20.5%;胸腔镜清创引流术患者的手术时间、术中出血量以及住院时间均明显低于开胸手术组,其差异均有统计学意义(P<0.05)。结论胸腔镜清创手术具有切口小、易恢复等特点,对于严重胸部外伤并发胸腔感染患者具有良好的治疗效果、安全、有效,值得临床上进一步推广与应用。OBJECTIVE To investigate the clinical diagnosis and treatment of severe thoracic trauma complicated with pleural infections, so as to provide reference for clinical treatment. METHODS Totally 88 patients with severe thoracic trauma from the hospital in Jan. 2013-May 2014 were selected. The patients were randomly divided into two groups receiving thoracoscopy or thoracotomy for debridement and drainage, 44 cases in each group. The two groups were compared for clinical data and thoracic infection rate, and the data were statistically analyzed with SPSS 13.0 software. RESULTS The incidence of thoracic infection was 4.5 % for patients undergoing thoracoscopy for debridement and drainage, significantly lower than 20.5% for those undergoing thoracotomy. The operation time, bleeding volume and length of hospital stay were significantly lower in the thoracoscopy group than those in the thoracotomy group （P〈0. 05）. CONCLUSION Thoracoscopy for debridement and drainage has advantages of small incision, easy recovery and so on. For severe chest trauma patients with pleural infections, it has good ther- apeutic effect, safe and effective, which is worthy of further promotion and application in clinic.

关 键 词：胸部外伤 胸腔感染 胸腔镜清创引流术 开胸手术 

分 类 号：R655[医药卫生—外科学]