摘要
目的:通过连枷胸两种不同的治疗方法的比较,探讨该病的优化治疗方案。方法:将91例连枷胸患者分为保守组41例,通过胸部外固定和/或呼吸机内固定等方法治疗;手术组50例,采用镍钛记忆合金环抱式接骨器手术内固定骨折的肋骨。结果:保守组和治疗组各死亡3例,死亡原因为呼吸道感染致呼吸衰竭,两组无明显差异,但ICU停留和住院天数、呼吸机使用时间、肺不张以及肺部感染等并发症,手术组均明显少于保守组(P<0.01)。结论:手术治疗连枷胸可迅速稳定胸壁,消除反常呼吸和剧烈疼痛对呼吸的影响,具有较高的临床应用价值。
Objective：Through the comparison of two different treatments for flail chest injuries,this research discusses the optimal treatment approach for such disease.Methods：retrospectively analyze the 91 cases of flail chest inpatients in our hospital through Jan.2006 to Jan.2012.There were 41 cases of conservative treatments with the outer chest fixation or/and inner ventilator fixation,etc.There were 50 surgical cases with the treatment of TEN I shape memory alloy embracing fixator.Results：3 cases died for each group for the reason of respiratory failure caused by respiratory infection.There is no obvious distinction between the two groups.Nevertheless,the ICU and impatient duration,the ventilator usage duration and lung infection in surgical treatment group were obviously less than that in conservative treatment group（P0.01）.Surgical treatment group has no thoracic deformity;however,there were 43.9%（18/41） thoracic deformities in conservative group.conclusion：Surgical treatment could immediately stabilize intestinal wall,eliminate unusual breath and the effect of intensive pain to breath.Therefore,it has positive applied value.
出处
《求医问药（下半月刊）》
2012年第8期209-210,共2页
Seek Medical and Ask The Medicine
关键词
连枷胸
镍钛记忆合金
内固定
flail memory alloy ，embracing fixator， intimal fixator ，surgery
