胸部创伤187例临床分析

Clinical Analysis of 187 Cases of Thoracic Trauma

本文报告胸部创伤187例,全组死亡6例,死亡率3.2％。根据本组治疗经验,作者认为:1.浮动胸壁的治疗,不过分强调固定胸壁,而着眼于肺挫伤的处理;2.胸部严重钝挫伤后,无论胸廓有无骨折都有可能出现延迟性血气胸;3.伴有膈肌贯穿伤的胸腹外伤才能称为胸腹联合伤;4.腹腔穿刺是诊断腹内脏器伤的有效手段。

The experiences in the clinical treatment of 187 cases of thoracic trauma were presented. Six patients in this series died from trauma, with a motality rate of 3.21%. Accor- ding to the experiences gained, it was pointed out: 1. More attention should be paid to the treatment of the pulmonary contusion rather than to the stabilization of the thoracic wall when dealing with the flail chest; 2. The delayed hemopneumothorax subsequent ot the serious chest trauma might occur disregard the rib fracture was presenst or not; 3. The diagnosis of combined thoracoabdominal trauma could only be establisbed when both the chest and abdomen were injured at the same time associated with diaphragmatic rupture or perforation; 4. Abdominal paracentesis was the most useful methord for the diagnosis of the injuries of the abdominal organs.