小儿创伤性血气胸106例诊疗分析  

Pediatric Traumatic Pneumothorax Diagnosis and Treatment of 106 Cases

作　　者：闫仁河[1] 占新庆[1] 李可可[1] 

机构地区：[1]福建医科大学附属南平市第一医院胸外科,福建南平353000

出　　处：《中国医药指南》2016年第12期26-26,28,共2页Guide of China Medicine

摘　　要：目的探讨小儿创伤性血气胸的诊断与治疗。方法对我院2009年1月至2015年1月间收治的106例创伤性血气胸患儿的诊疗进行回顾性分析。结果 101例治愈,治愈率95.3%。死亡5例,病死率4.7%,死亡例创伤严重评分(ISS)平均38.4。结论①提高对小儿创伤性血气胸的认识;②胸腔闭式引流是很有效的治疗方法,胸腔镜辅助手术为确切、积极有效的治疗方法;③重视合并伤,早期预防ARDS,可减少并发症,降低病死率。Objective To discuss the diagnosis and treatment of pediatric traumatic hemopneumothorax. Methods Retrospective analysis of the diagnosis and treatment of the 106 cases of children with traumatic hemopneumothorax. Result 101 cured, a 95.3% cure rate; 5 dead, a 4.7% death rate. The average of ISS（Injury Severity Score） was 38.4. Conclusion 1Improve the awareness of pediatric traumatic hemopneumothorax; 2Thoracic cavity closed drainage is an effective treatment, and video-assisted thoracoscopic surgery is exact, positive and effective; 3Attaching great importance to associated injuries and early prevention of ARDS could reduce complication and lower the death rate.

关 键 词：小儿胸部创伤 血气胸 诊断和治疗 

分 类 号：R561.4[医药卫生—呼吸系统]