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目的探讨胸外伤开胸探查的手术指征及救治策略。方法回顾性分析我院自2006年1月至2014年12月经开胸探查救治51例胸外伤患者的临床资料,其中男43例、女8例,年龄24(17~75)岁。结果全组损伤严重度评分(ISS)平均19.4分。闭合性损伤16例,开放性损伤35例,治愈45例(88.24%),死亡6例(11.76%)。死亡原因为心脏破裂、失血性休克、感染性休克、多器官功能障碍综合征(MODS)、弥散性血管内凝血(DIC)。结论及时就医、快速诊断、准确把握手术指征、多科室联合诊治是救治胸外伤的关键。
Objective To investigate the indications for thoracic trauma thoracotomy and its treatment strategy. Methods The clinical data of 51 patients with thoracic trauma who underwent thoracotomy from January 2006 to December 2014 in our hospital were retrospectively analyzed. There were 43 males and 8 females, aged 24 (17-75 years). Results The whole group’s severity of injury score (ISS) averaged 19.4 points. There were 16 cases of closed injury, 35 cases of open injury, 45 cases were cured (88.24%) and 6 died (11.76%). Causes of death were heart rupture, hemorrhagic shock, septic shock, multiple organ dysfunction syndrome (MODS), disseminated intravascular coagulation (DIC). Conclusion timely medical treatment, rapid diagnosis, accurate grasp of indications for surgery, multi-departmental joint diagnosis and treatment is the key to treating thoracic injury.