摘要
目的探讨各类胸壁浮动伤的治疗。方法①呼吸功能障碍:气管切开,呼吸机的应用;②胸部并发创伤:胸腔闭式引流术,剖胸肺修补或肺切除术;③浮动胸壁:弹性胸带固定法,单线牵引有机玻璃板固定术,呼吸内固定术;镇痛(硬膜外置管连接注药法);④复合创伤:以维持呼吸循环功能为前提,判定治疗的轻重缓急,选择联合或先后的处理方案。结果全组胸壁恢复正常者84例,占82.5%;死亡13例,死亡率16.6%。结论根据本组治疗经验,作者认为掌握胸壁浮动伤的治疗要点,可提高治愈率,降低死亡率。
Objective To discuss the treatment of varied floating chest. Methods The tracheotomy and ventilator were used for respiratory disorder patient. The closed drainage or thoracotomy were taken! for patient had chest or lung complications. The elastic belt, line retraction and fixation with internal were used for floating chest. The complex trauma patients were selected with combined programs to treat. Results 84 of 114 patients were recovered with 82.5 % and 13 cases dead. Conclusion The key points to treat floating chest should improve the cure rate and decrease mortality.
出处
《黑龙江医学》
2007年第11期853-855,共3页
Heilongjiang Medical Journal
关键词
创伤
浮动胸壁
Trauma
Floating chest
