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目的探讨严重胸外伤的综合治疗,提高救治率,降低病死率。方法本组胸腔闭式引流45例,开胸或胸腔镜探查17例,其中肺破裂修补15例,主支气管破裂修补2例,连枷胸巾钳肋骨牵引9例,胸部加压包扎6例,气管切开6例,其他合并伤有相应专科处理。结果经治疗痊愈49例,死亡1例。结论严重胸外伤的患者病情复杂、危重,必须迅速、及时、正确地早期诊断并采取有效的综合治疗,可有效地防止急性呼吸循环衰竭的发生,可提高严重胸外伤患者的治愈率。
Objective To investigate the comprehensive treatment of severe thoracic trauma and improve the treatment rate and reduce the mortality rate. Methods Thoracic drainage in 45 cases, thoracotomy or thoracoscopy exploration in 17 cases, including lung rupture repair in 15 cases, the main bronchial rupture repair in 2 cases, flail chest towel forceps rib traction in 9 cases, chest compression bandage in 6 cases, the trachea Incision in 6 cases, the other associated injuries with the corresponding treatment. Results After treatment, 49 cases were cured and 1 died. Conclusions The patients with severe thoracic trauma are complicated and critically ill. Therefore, they must be promptly, timely and correctly diagnosed and taken effective comprehensive treatment, which can effectively prevent the occurrence of acute respiratory cycle failure and improve the cure rate of patients with severe thoracic trauma.