摘要
目的探讨肋骨环抱器在胸外伤肋骨内固定的治疗效果。方法本组113例肋骨骨折患者,在全身麻醉下分离肋骨断端两侧2cm,将接骨器放入冰水内5min使其软化,撑开接骨器环保臂,用湿纱布热敷3min,接骨器快速恢复原来形状并固定肋骨。其中74例行单纯肋骨固定,39例在其他手术过程中同期完成或第二期完成。结果本组113例,死亡2例,均为严重颅脑合并胸腹部联合伤,多器官功能衰竭;8例严重胸壁软化,其中6例出现急性呼吸窘迫综合征(ARDS),经肋骨内固定后均痊愈。结论肋骨环抱器内固定简单易行,对于减轻伤者胸痛,改善咳嗽排痰效果十分明显,尤其适用于多根多处肋骨骨折者,可以防治ARDS,缩短呼吸机使用时间。
Objective To investigate the therapeutic effects of ribs embracing holders in the treatment of chest trauma. Methods A total of 113 patients with rib fractures underwent 2 cm separation on both sides of the ribs stump under general anesthesia. First, the holder was softened in iced water for 5 minutes, then, the arm of the holder was stretched and packed with hot wet gauze for 3 minutes. The holder resumed its original shape quickly and the fractured rib was fixed. Out of 113 patients, 74 had rib fixation only, while another 39 had their operation finished over the same period or in the second phase of other surgical procedures. Results Among the 113 patients, 2 patients died of severe brain injury combined with.thoracic and abdominal injuries and muhiple organ failure. Eight patients suffered from severe chest wall softening, 6 of whom having acute respiratory distress syndrome （ARDS）. All recovered after internal fixation. Conclusions It is easy to apply this device and effective in alleviating chest pain, cough and helpful in expectoration. It is especially useful in muhiple rib fractures, which can prevent ARDS and shorten the me- chanical ventilation time.
出处
《中华损伤与修复杂志（电子版）》
CAS
2011年第4期49-51,共3页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
关键词
骨折固定术
内
胸部
呼吸窘迫综合征
成人
肋骨骨折
Fracture fixation, internal
Thorax
Acute respiratory distress syndrome
Rib fractures
