摘要
目的探讨严重创伤性血胸（出血量〉1500m1）的外科治疗及围手术期处理策略。方法总结21例严重创伤性血胸患者的手术治疗过程及围手术期处理方法。结果21例患者中，20例治愈，1例死亡，死亡率5％。手术时间平均94（70～130）min；术中清除胸内积血量平均1860（1550～3450）ml；术后留置胸腔闭式引流管平均4．5（4～6）d；恢复时间13～15d。术后无严重并发症。结论术前快速补充血容量、及时开胸止血、术中输血和自体血回输是治疗严重创伤性血胸的关键。
Objective To study the principles of surgical and pcr-opcrative treatment of the massive traumatic hemothorax （bleeding volume 〉 1 500ml）. Methods Analysis was conducted on the surgical and per-operative treatment of 21 patients oP massive hcmothorax. Results Among the 21 patients, 20 recovered and thc other one died. The mortality was 5%. The average operation time was 94 （70 - 130） min. The average volume of bleeding was 1,860 （ 1,550 -3,450） ml. The average thoracic drainage time was 4.5 （4 -6） d. And the average recovery time was 13 - 15 d. No postoperative complication was found. Conclusion Early diagnosis, rapid pre-operative liquid transfusion, rapid operation and autoblood transfusion are the key steps to the treatment of massive traumatic hemothorax.
出处
《临床军医杂志》
CAS
2007年第5期688-689,共2页
Clinical Journal of Medical Officers
基金
解放军总医院第一附属医院科研课题资助项目(200622)
关键词
创伤性血胸
开胸止血术
白体血回输
traumatic hemothorax
thoracotomy hemostasis
autoblood transfusion
