摘要
报告胸部创伤１６８例，全组死亡１例，病死率０．６％。本组治疗经验：胸外伤抢救首先重视采用ＶＩＰ程序；多发性肋骨骨折，着眼于浮动胸壁的处理，采用以治疗肺挫伤为重点的非固定疗法；急性血气胸绝大多数行胸腔闭式引流术等非开胸手术可治愈；心脏创伤及心包填塞抢救成功的关键在于迅速作出正确的诊断和及时开胸手术；膈肌损伤症状易被严重的合并伤症状所掩盖。
168 patients with thoracic wounds were reported, one dead, fatalityrate 0.6%. Research showed that the VIP program should be paid attention to at first in the emergency; the treatment of floating chest wall should be focused if multiple fracture of rib occurred so that the non-fixation treatment should be performed first on the contusion of lung; the closed thoracic drainage should be performed on the acute hematopneumothorax; the key to the successful emergency of cardiac trauma and pericardial tamponade were to diagnose and to perform the thoracotomy correctly and immediately. It should be warned that the complication easily covered the injury of diaphragm.
出处
《右江民族医学院学报》
1996年第3期339-341,共3页
Journal of Youjiang Medical University for Nationalities
关键词
胸部创伤
VIP程序
浮动胸壁
血气胸
膈疝
thoracic wound
VIP program
floating chest wall
hematopneumathorax
pericardial tamponade
diaphragmatic hernia
surgery
