胸部创伤,多系重大暴力所致,及时准确救治是促进恢复,减少并发症及降低死亡率的关键。自1980年~1998年共收治各类胸部创伤病人419例,根据病情选用抗休克、抗生素防治感染及对症处理的同时尼龙弹力胸带固定胸壁。胸腔闭式引流88例,其中双侧胸腔闭式引流8例,反复胸穿抽液抽气87例,剖胸止血及肺修补10例,开胸清除血凝块及纤维板剥脱2例,合并其它部位及脏器损伤者,针对其病情作相应专科处理。本组治愈411例,死亡8例,死亡率2%。本文对胸腔诊断性穿刺及紧急剖胸止血的标准进行了探讨,同时对严重胸部创伤晶体液输入的控制及早期、短期、大剂量应用地塞米松提出了看法。胸部创伤多系重大暴力所致,及时准确救治是促进恢复,减少并发症及降低死亡率的关键。 Chest trauma, mostly caused by heavy violence, prompt and accurate treatment is the key to promote recovery, reduce complications and reduce mortality. From 1980 to 1998, a total of 419 cases of various types of chest trauma were admitted. According to the condition, anti-shock, antibiotics to prevent infection and symptomatic treatment simultaneously fixed nylon chest chest wall. Thoracic closed drainage in 88 cases, of which bilateral bilateral thoracic drainage in 8 cases, repeated chest fluid pumping 87 cases, thoracotomy and pulmonary repair in 10 cases, thoracotomy to remove blood clots and fibreboard exfoliation in 2 cases, combined with other Parts and organs injury, according to their condition for the corresponding specialist treatment. The group of 411 cases of healing, 8 died, the mortality rate of 2%. In this paper, the criteria of diagnostic thoracentesis and emergency thoracotomy were discussed, and the control of severe thoracic trauma crystal fluid input and the application of early, short-term and high-dose dexamethasone were put forward. Thoracic and traumatic injuries are mostly caused by heavy violence. The timely and accurate treatment is the key to promote recovery, reduce complications and reduce mortality.