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目的探讨胸部创伤的临床诊治措施。方法回顾分析180例患者的临床资料。结果 180例中保守治疗92例,采用抗休克、胸穿、胸腔闭式引流等综合性治疗措施。剖胸手术88例,其中行肺修补或肺叶切除35例,胸壁胸内血管结扎或修补28例,膈修补10例,支气管修补3例,胸内异物摘除、食管破裂修补、凝固血胸血块清除各4例。结论对于胸部创伤的患者应根据伤情进行治疗。
Objective To investigate the clinical diagnosis and treatment of chest trauma. Methods The clinical data of 180 patients were retrospectively analyzed. Results Of the 180 cases, 92 cases were treated conservatively and were treated by anti-shock, thoracentesis and thoracic closure. Thoracotomy was performed in 88 cases, of which 35 cases were pulmonary repair or lobectomy, 28 cases were thoracic thoracic vascular ligation or repair, 10 cases were treated by phrenic repair, 3 cases were bronchial repair, thoracic foreign body removal, esophageal rupture repair, 4 cases in each. Conclusion Patients with chest trauma should be treated according to the injury.