早期手术与晚期手术治疗重症胸外伤合并胸壁软化的效果比较  

Comparison of the effect of early operation and late operation in the treatment of severe thoracic trauma complicated with chest wall softening

作　　者：覃国晓 QIN Guo-xiao(Department of Cardiovascular Surgery,Hechi People's Hospital,Hechi 547000,China)

机构地区：[1]广西河池市人民医院心胸血管外科,广西河池547000

出　　处：《吉林医学》2021年第11期2625-2627,共3页Jilin Medical Journal

摘　　要：目的:探究早期手术与晚期手术治疗重症胸外伤合并胸壁软化的效果。方法:于2017年3月~2019年12月收治18例重症胸外伤合并胸壁软化患者为研究对象,采用随机数字表法分组,对照组(n=8)采用晚期手术,观察组(n=8)采用早期手术。两组治疗效果比较。结果:观察组手术时间、首次下床时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组手术效果优于对照组,差异有统计学意义(P<0.05)。两组治疗后血气指标均得到明显改善,与治疗前比较,差异有统计学意义(P<0.05)。结论:针对严重胸外伤合并胸壁软化患者采取早期手术治疗可缩短手术时间,实现患者尽早下床和出院,对提高手术效果、降低相关并发症有重要意义,值得临床推广与应用。Objective To explore the effect of early operation and late operation in the treatment of severe thoracic trauma complicated with chest wall softening.Method From March 2017 to December 2019,18 patients with severe chest trauma complicated with chest wall malacia were selected as the research objects.They were divided into two groups by random number table method.The control group(n=8)was treated with advanced surgery,and the observation group(n=8)was treated with early surgery.The therapeutic effect of the two groups was compared.Results The operation time,first time out of bed time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).The operation effect of the observation group was better than that of the control group(P<0.05).After treatment,the blood gas indexes of the two groups were significantly improved,with statistical difference compared with those before treatment(P<0.05).Conclusion Early surgical treatment for patients with severe chest trauma complicated with chest wall malacia can shorten the operation time,realize the patients get out of bed and discharge as soon as possible,which is of great significance to improve the operation effect and reduce the related complications,which is worthy of clinical promotion and application.

关 键 词：早期手术 晚期手术 重症胸外伤合并胸壁软化 效果比较 

分 类 号：R655[医药卫生—外科学]