论文部分内容阅读
目的探讨创伤性连枷胸的治疗方法和效果。方法回顾性分析我院2002年10月2006年9月收治的62例创伤性连枷胸的临床资料。结果治愈53例(85.5%),随访肺功能无明显减退;死亡9例(14.5%)。肋骨悬吊牵引12例(双侧6例),肋骨内固定8例,呼吸机治疗12例。合并肺不张23例,气管切开15例,纤维支气管镜治疗18例。结论创伤性连枷胸应采取综合治疗措施。除积极治疗肺挫伤外,对严重的浮动胸壁应行牵引固定或内固定。呼吸机的使用指征主要是胸壁固定不能纠正的严重低氧血症和ARDS先兆。早期气管切开能提高生成率。
Objective To investigate the treatment and effect of traumatic flail chest. Methods The clinical data of 62 cases of traumatic flail chest treated in our hospital from October 2002 to September 2006 were retrospectively analyzed. Results 53 cases were cured (85.5%). There was no significant decline in lung function at follow-up. Nine patients died (14.5%). 12 cases of rib suspension traction (bilateral in 6 cases), rib fixation in 8 cases, ventilator treatment in 12 cases. Atelectasis in 23 cases, tracheotomy in 15 cases, bronchoscopy in 18 cases. Conclusion Traumatic flail chest should take comprehensive treatment. In addition to active treatment of pulmonary contusion, the severe floating chest wall traction should be fixed or internal fixation. Ventilator use indications are mainly chest wall fixation can not be corrected severe hypoxemia and ARDS aura. Early tracheotomy can improve the rate of formation.