胸外伤致迟发性血气胸42例诊治分析

Diagnosis and treatment of delayed hemopneumothorax induced by thoracic trauma in 42 cases

目的探讨胸外伤迟发性血气胸临床特点及防治措施。方法回顾性分析42例胸外伤迟发性血气胸患者的发生原因及诊治经过。结果42例患者中,19例采取保守治疗,3例行胸腔穿刺治疗,20例行胸腔闭式引流术,剖胸探查术2例。其中41例治愈,1例死亡。结论胸部受创伤后3周内应定期行胸部X线检查,警惕迟发性血气胸的发生,确诊后应根据病情予对症观察治疗或采取胸穿术、胸腔闭式引流术或剖胸术。提高对该病的认识,是减少对其漏诊、误治的关键。

[Objective] To explore the clinic feature, treatment and prevention of delayed hemopneumothorax induced by thoracic trauma. [ Methods] Retrospective study the causes and treatments of delayed hemopneumothorax induced by thoracic trauma in 42 cases. [Results] In 42 cases, symptomatic treatment 19, thoracentesis 3, closed thoracic drainage 20, and thoracotomy 2. There are 41 cured ones and 1 dead. [Conclusion] Thorax X-ray check should be done to the thoracic trauma cases within 3 weeks in order to find the delayed hemopneumothorax. Therapy methods include symptomatic treatment and surgical treatment according to the condition of disease. It is very important to alert the occurrence of delayed hemopneumothorax induced by thoracic trauma.