419例胸部创伤临床分析
【摘要】胸部创伤，多系重大暴力所致，及时准确救治是促进恢复，减少并发症及降低死亡率的关键。自1980年~1998年共收治各类胸部创伤病人419例，根据病情选用抗休克、抗生素防治感染及对症处理的同时尼龙弹力胸带固定胸壁。胸腔闭式引流88例，其中双侧胸腔闭式引流8例，反复胸穿抽液抽气87例，剖胸止血及肺修补10例，开胸清除血凝块及纤维板剥脱2例，合并其它部位及脏器损伤者，针对其病情作相应专科处理。本组治愈411例，死亡8例，死亡率2%。本文对胸腔诊断性穿刺及紧急剖胸止血的标准进行了探讨，同时对严重胸部创伤晶体液输入的控制及早期、短期、大剂量应用地塞米松提出了看法。胸部创伤多系重大暴力所致，及时准确救治是促进恢复，减少并发症及降低死亡率的关键。【关键词】胸部创伤；胸腔诊断；临床分析
419 examples chests wound clinical analysis
ZHU Wanyu GUO Yan
【Abstract】Chest trauma, many of the major result of violence, timely and accurate treatment is to promote recovery, reduce complications and the key to reducing mortality. Since 1980 to 1998 a total of all types of chest trauma patients treated 419 cases, according to illness optional anti-shock, infection prevention and treatment of antibiotics and symptomatic treatment of nylon elastic chest with a fixed chest wall. Closed thoracic drainage 88 cases, of which both closed thoracic drainage eight cases, chest repeatedly pumped through the exhaust of 87 cases, thoracotomy 10 cases of bleeding and lung repair, thoracic and remove blood clots fibreboard stripping two cases, other merger Location and organ damage, corresponding to its condition for specialist treatment. The 411 cases were cured, died eight cases, the mortality rate of 2%. In this paper, the diagnosis of chest puncture to stop bleeding and emergency thoracotomy the standards were discussed, at the same time for serious chest trauma enter the liquid crystal control and early, short-term, large dose of dexamethasone to the view. Many of the major chest trauma caused by violence, timely and accurate treatment is to promote recovery, reduce complications and the key to reducing mortality. ......
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