合并胸部损伤的严重多发伤103例临床诊治  

Investigate the Clinical Treatment of Severe Polytraumatized Patients with Chest Trauma in Department of Thoracic Surgery

作　　者：周志忠[1] 林晖[1] 陈伟[1] 薛武[1] 连华彬 LI Zhi- zhong LIN HUI CHEN Wei(Department of thoracic, the first hospital of Fuzhou, Fuzhou 35000)

机构地区：[1]福州市第一医院胸外科,福建福州350000

出　　处：《中国伤残医学》2016年第17期7-8,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨合并胸部损伤的严重多发伤的胸外科临床诊治措施。方法：回顾性分析总结我院胸外科2008年1月～2014年6月收治合并胸部损伤严重多发伤病例，期间运用呼吸气道控制技术、生命征支持与监测及损伤控制微创手术的经验。结果：本组胸外科抢救胸部损伤为主的严重多发伤103例。存活98例，存活率为95．1％。死亡5例，死亡率为4．8％。结论：对交通事故等意外致严重多发伤合并胸部损伤为主的诊断及治疗应抓重点，维护呼吸气道的稳定和通畅，以损伤控制为原则，快速手术干预，是提高抢救的成功率和患者治愈率的关键。Objective：To investigate the clinical treatment of severe polytraumatized patients with chest trauma in department of tho -racic surgery .Methods：The hospitalization and treatment of chest trauma combined severe multitrauma cases in department of thoracic surgery were retrospectively studied from January 2008 to June 2014 , Monitoring of vital sighs , the technique of airway control and dam-age control minimally invasive surgery were adopted efficiently during treatment .Results：There were 103 multi-injured cases ,98 pa-tients were survived, livability is 95.1%, 5 patients（3.7%）died during resuscitation in thoracic surgery .Conclusion：the advancement of diagnostic techniques and therapy is essential to rescue these chest trauma combined polytraumatized patients on accidents caused by such traffic accident , keeping airway clear and stabilize ,early quick surgical intervention with damage control is a key to minimize mortali-ty of critically multitrauma patients and Improve the rescue success rate .

关 键 词：胸部 多发伤 气道 微创手术 

分 类 号：R656[医药卫生—外科学]