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目的探讨创伤性血气胸的院外急救方法。方法回顾性分析平乐县人民医院2008年1月至2014年3月收治的41例创伤性血气胸患者的临床资料,多为闭合性损伤,合并伤主要包括不同程度多发肋骨骨折、腹腔内脏器损伤、颅脑创伤、其他部位骨折等,部分患者伴有失血性休克或连枷胸。结果本研究41例患者中治愈出院36例,治愈率为90.2%;死亡4例,病死率为9.8%,其中急性呼吸衰竭2例,重型颅脑损伤1例,严重腹腔内脏器损伤1例。结论大多数创伤性血气胸患者经保守治疗可治愈,胸腔闭式引流是主要的早期处理手段,对于有明显活动性胸部出血者需及时剖胸处理,避免病情进展而危及生命。
Objective To investigate the emergency treatment of traumatic hemothorax in hospital. Methods The clinical data of 41 patients with traumatic hemopneumothorax admitted from January 2008 to March 2014 in Pingle County People’s Hospital were retrospectively analyzed. Most of them were closed injuries. The combined injuries included multiple degrees of multiple rib fractures, Injury, traumatic brain injury, other parts of the fracture, some patients with hemorrhagic shock or flail chest. Results In the study, 36 patients were cured and discharged from hospital in 36 cases, the cure rate was 90.2%. Four patients died and the case fatality rate was 9.8%. There were 2 cases of acute respiratory failure, 1 case of severe craniocerebral injury and 1 case of severe intra-abdominal organ injury. Conclusion Most patients with traumatic hemopneumothorax can be cured by conservative treatment. Closed thoracic drainage is the main means of early treatment. For patients with obvious active thoracic bleeding, thoracotomy should be timely treated to avoid life-threatening condition.