摘要
目的探讨胸部外伤的伤情特点及院内救治策略。方法收集我院在1985年1月～2010年12月间共收治的胸部创伤患者1 064例资料,对资料较为完整的825例胸部创伤患者的诊治进行回顾性分析。825例中,道路交通伤343例(41.6%),坠落伤210例(25.5%),打击伤102例(12.4%),摔伤45例(5.5%),刀刺伤116例(14.1%),枪弹伤8例(1.0%),爆炸伤1例(0.1%);其中闭合性损伤700例(84.8%),开放性损伤125例(15.2%)。结果 825例中,手术治疗256例(31%),非手术治疗569例(69%)。临床治愈790例(95.8%),死亡35例(4.2%)。结论胸部创伤的早期紧急救治、积极正确处理合并伤及重视后期处理是提高胸部创伤救治成功率的3个关键环节。
Objective To investigate the traumatic characteristics and the intra-hospital remedy strategy of patients with chest trauma.Methods Data on 1 064 cases of chest trauma admitted in hospitals from Jan.1985 to Dec.2010 were collected,and retrospective analysis was applied on 825 cases who have integrated clinical information.Among the 825 cases of chest trauma,there were 343 traffic accident injuries（41.6%）,210 crash injuries（25.5%）,102 blunt-attack injuries（12.4%）,45 falling injuries（5.5%）,116 puncture wound（14.1%）,8 gunshot injury（1.0%）,1 explosion injury（0.1%）.There were 700 cases（84.8%）of closed wound and 125 cases（15.2%）of open injury.Results In the 825 cases,256 cases（31%）received operation,569 cases（69%）received non-operative treatment.Clinical recovery was observed in 790 cases（cure rate： 95.8%）,death in 35 cases（mortality rate： 4.2%）.Conclusion For serious chest trauma patients,it should emphasize the emergency aid,actively handle the associated injury and pay attention to the later stage treatment.They are three key points to elevate the achievement ratio of the chest trauma care.
出处
《创伤外科杂志》
2011年第5期403-406,共4页
Journal of Traumatic Surgery
关键词
胸部创伤
救治
手术
chest trauma
treatment
operation
