摘要
目的探讨创伤性连枷胸的抢救与治疗方法,提高治愈率。方法回顾性分析78例连枷胸患者的临床资料,总结其救治方法。采用外固定与治疗肺挫伤并重,及时有效的气管切开和呼吸机支持治疗,防止并发症发生。结果治愈76例,死亡2例,治愈率97.44%。气管切开32例,呼吸机支持呼吸44例。结论对创伤性连枷胸患者进行及时有效的治疗、早期行气管切开及呼吸机支持呼吸,可防止急性呼吸窘迫综合征的发生,提高治愈率。
Objective To investigate the treatment of the traumatic flail chest and to raise the recovery rate. Methods Clinical data of 78 cases with traumatic flail chest were retrospectively studied. The treatment methods of traumatic flail chest were summarized. The external fixation was regarded as important as the treatment of lung contusion. The trachea incision and ventilator support on time could prevent complications. Results 76 cases recovered and 2 cases died, with the recovery rate of 97.44%. 32 cases experienced trachea incision and 44 cases were treated with ventilator support. Conclusion Timely and effective treatment of traumatic flail chest, early trachea incision and ventilator support may prevent thc occurrence of acute respiratory distress syndrome and raise the recovery rate.
出处
《中国综合临床》
北大核心
2006年第4期341-342,共2页
Clinical Medicine of China
关键词
连枷胸
肺挫伤
急性呼吸窘迫综合征
Flail chest
Lung contusion
Acute respiratory distress syndrome
