胸外伤415例临床分析  

Clinical analysis of 415 cases thorax injury

作　　者：张松贵 周晓琪[1] 

机构地区：[1]江苏省如皋市人民医院外科,江苏如皋226500

出　　处：《河北医学》2003年第10期918-920,共3页Hebei Medicine

摘　　要：目的 :探讨胸外伤的临床特点 ,以提高诊治水平。方法 :回顾性分析 415例胸外伤患者的临床资料。结果 :胸部伤主要是肺挫伤、血气胸、多发肋骨骨折 ,合并伤主要是颅脑损伤、腹部闭合伤、四肢骨折。采用胸腔闭式引流 2 67例 ( 64 .3 %) ,开胸手术 46例 ( 11.1%)。结论 :合并ARDS、颅脑损伤、腹部脏器损伤是其主要死亡原因。Objective: To improve the diagnosis and treatment and study the clinical feature of thorax injury. Method: We reviewed 415 cases thorax injury data. Result: Thorax injury is the lung injury hemothorax and pneumothorax multiple rib fracture. The complicated injury is contusion of brain, abdominal closed injury extremity fracture 267 cases were drained closely (64.3%), 46 cases were operated (11.1%). Conclusion: The main reason of death is complicated with ARDS. contusion of brain, abdominal injury CT examine is superior to X-ray.

关 键 词：胸外伤 肺挫伤 合并伤 CT检查 

分 类 号：R655[医药卫生—外科学]