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目的分析胸外伤的临床诊疗方法。方法回顾性分析1999年1月~2008年12月收治的1167例胸外伤患者临床资料,闭合性胸外伤1019例,开放性胸外伤148例;其中合并肋骨骨折819例,合并血气胸312例,合并其他部位复合损伤692例。结果本组治疗采用非手术治疗1112例,开胸手术治疗57例,住院期间死亡22例。结论胸外伤患者大多数经非手术治疗或是做简单的胸腔闭式引流术均可治愈,对较重胸外伤应准确掌握有无开胸指征,充分估计胸外伤患者的伤情,尽早手术,保护各脏器功能,机械通气等是抢救成功的重要措施。
Objective To analyze the clinical diagnosis and treatment of thoracic trauma. Methods The clinical data of 1167 patients with thoracic trauma admitted from January 1999 to December 2008 were retrospectively analyzed. Among them, 1019 cases of closed thoracic trauma and 148 cases of open thoracic trauma were included. Among them, 819 cases were complicated with rib fractures, 312 cases were complicated with hemothorax, Combined with other parts of 692 cases of composite injury. Results The treatment of non-surgical treatment of 1112 cases, 57 cases of thoracic surgery, 22 died during hospitalization. Conclusion Most patients with thoracic trauma are cured by either non-surgical treatment or simple closed thoracic drainage. Thoracic injury should be accurately grasped for the indication of thoracic injury. Thorough evaluation of the injury of thoracic trauma patients as soon as possible , Protect the function of various organs, mechanical ventilation and other important measures to rescue success.