重症胸外伤急诊救治经验及临床效果分析  

Analysis of emergency treatment experience and clinical effect of severe chest trauma

作　　者：丁凯 DING Kai(Changzhou University Affiliated Hospital,Changzhou Xitaihu Hospital,Changzhou 213000,China)

机构地区：[1]常州西太湖医院,常州大学附属医院,江苏常州213000

出　　处：《临床医药实践》2024年第7期502-505,共4页Proceeding of Clinical Medicine

摘　　要：目的:总结并分析重症胸外伤的急诊救治经验及临床效果。方法:回顾性分析2022年11月-2023年11月收治的重症胸外伤37例患者的临床资料及救治经验和效果。结果:37例患者中致伤原因多为车祸伤,其次为高处坠落和重物砸伤。闭合性胸外伤32例,开放性胸外伤5例;合并颅脑损伤21例,合并腹部损伤8例,合并四肢、骨盆及脊柱骨折13例;急诊手术26例,择期手术12例;治愈31例,自动出院3例(均合并颅脑损伤,家属放弃治疗),死亡3例,治愈率83.8%。结论:重症胸外伤发病突然,起病急,伤情重,且多为合并其他脏器损伤的复合伤,病死率高,救治难度大,一旦接诊,应开通绿色救命通道,尽快完成液体复苏,有手术指证者尽早手术,同时注意多学科协作,提高救治成功率。Objective:To analyze the emergency treatment experience and clinical effect of severe chest trauma.Methods:All 37 cases of severe chest trauma who were treated from November 2022 to November 2023 were reviewed retrospectively,its clinical datas,treatment experience and effect were compared.Results:The most common cause is traffic trauma in 37 cases.followed by fall from height and heavy object injuries.32 cases of closed thoracic trauma,5 cases of open thoracic trauma,21 cases of craniocerebral injury,8 cases of abdominal injury,13 cases of limbs,pelvis and spine fracture.The emergency operations in 26 cases and elective operations in 12 cases were performed.31 cases were cured,3 cases gave up treatment automatically,3 cases died,the cure rate was 83.8%.Conclusion:The severe chest trauma was usually combined with other organ injury.The mortality was high and treatment difficult.Once the patient was received,the green life-saving channel should be opened,fluid resuscitation and operation with surgical indications should be as early as possible.At the same time,multi-disciplinary cooperation should be enhanced in order to improve the success rate of treatment.

关 键 词：胸部损伤 重症胸外伤 急诊手术 治疗效果 

分 类 号：R641[医药卫生—外科学]