胸部创伤治疗中的几个问题(附1124例临床分析)  

Some Aspects in Clinical Treatment of 1124 Cases of Thoracic Trauma

作　　者：方祥和 赵兴吉[1] 吴端青[1] 杨大业[1] 宋小元[1] 余欣[1] 李毅强 

机构地区：[1]重庆市外科医院胸外科,630010

出　　处：《中华创伤杂志》1992年第3期147-148,共2页Chinese Journal of Trauma

摘　　要：报告胸部创伤1124例,全组死亡14例,死亡率1.3%。根据本组治疗经验,作者认为:(1)应当警惕迟发性血胸或胸内再次出血的发生。(2)老年胸外伤的多发性肋骨骨折和肺部感染发生率高,治疗上不宜限制胸壁活动。(3)凝固性血胸一旦诊断明确,以早期手术为宜。应当重视胸腔闭式引流术。(4)自体血回输,值得推广应用。The paper presents our experience in treatment of 1124 cases of thoracic trauma. 14 patients in this series died of trauma with a mortality rate 1.3%. from the experience the authors point out:1.Delayed hemothorax and bleeding again in the pleural cavity should be watched carefully. 2. Multiple rib fracture and pulmonary infection account for a higher proportion in the old age. It is unsuitale to confined the activities of the thoracic wall. 3. Early operative intervention is necessary for clotted hemothorax. and should pay attention to chest tube drainge. 4. Autotransfusion of the blood aspirated from the pleural cavity may be carried out. (Original article on page 147)

关 键 词：胸部 创伤 凝固性 血胸 老年人 

分 类 号：R655.05[医药卫生—外科学]