外伤性多发性肋骨骨折合并脾破裂的急诊诊断及临床治疗  

Emergency Diagnosis and Clinical Treatment of Traumatic Multiple Rib Fractures Combined with Splenic Rupture

作　　者：李杰 Li Jie(Luzhou Hospital of Traditional Chinese Medicine,Luzhou,Sichuan 646000)

机构地区：[1]四川省泸州市中医医院,四川泸州646000

出　　处：《科技与健康》2023年第18期89-92,共4页Technology and Health

摘　　要：探讨外伤性多发性肋骨骨折合并脾破裂的急诊诊断方法和治疗手段。选取2021年2月—2022年7月外伤性多发性肋骨骨折合并脾破裂患者90例作为研究对象,结合患者脾脏受伤水平对其进行划分,分为轻度组(45例)与重度组(45例),重度组又根据手术方式不同,分为对照组和治疗组,采取不同的治疗手段,比较分析治疗效果。结果显示,术后,轻度组患者住院时间、胸腔闭式引流时间短于重度组(P<0.05),并发症发生率低于重度组(P<0.05)。研究发现,急诊治疗环节,应对外伤性多发性肋骨骨折合并脾破裂患者进行检查,采用早期全面检查模式,结合患者脾破裂程度,对患者预后护理措施进行调整,提升治疗成效,缩短患者住院时间。Explore the emergency diagnosis and treatment methods for traumatic multiple rib fractures combined with splenic rupture.90 patients with traumatic multiple rib fractures combined with splenic rupture from February 2021 to July 2022 were selected as the study subjects.They were divided into mild group(45 cases)and severe group(45 cases,with severe group divided into control group and treatment group according to different surgical methods)based on the level of splenic injury.Different treatment methods were used to compare and analyze the treatment effects of the two groups.The results showed that after surgery,the hospitalization time and closed thoracic drainage time of patients in the mild group were shorter than those in the severe group(P<0.05),and the incidence of complications was lower than that in the severe group(P<0.05).Research has found that in the emergency treatment phase,patients with traumatic multiple rib fractures combined with splenic rupture should be examined using an early comprehensive examination mode,combined with the degree of splenic rupture,to adjust the patient’s prognosis nursing measures,improve treatment effectiveness,and shorten the patient’s hospitalization time.

关 键 词：外伤性多发性 肋骨骨折合并脾破裂 诊断 治疗 

分 类 号：R687.3[医药卫生—骨科学]