外伤性血气胸的诊治体会

The Diagnosis and Therapy on Trauma Hemopneumothorax

目的:总结外伤性血气胸及其合并症的诊断、治疗经验,以提高对该病的认识。方法:对3年来收治的287例外伤性血气胸的多种治疗方法进行对比分折。结果:本组治愈272例,治愈率为94.9%,死亡15例,病死率为5.1%。结论:应对创伤性血气胸引起重视,强调要早期诊断,早期治疗;边诊断,边对威胁生命的伤情进行治疗,同时重视迟发性血气胸及颅脑外伤等复合伤的诊断。

Objective：To analyze and discuss the methods of diagnosis and therapy on trauma hemopneumothorax and its combined symptoms. Methods：To summarize our experiences on 287 cases of trauma hemopneumothorax since 3 yeays and include the therapeutic methods of conservative observations, simple thoracic cavity puncture, closed chest drainage and exploratory thoracotomy etc. also deal with complicated injury such as contusion of brain, abdominal injury. Results：272 eases were cured with cure rate of 94. 9%. There are 15 eases dead with fatality rate of 5.1 G. Conclusion： For the diagnosis and therapy of trauma hemopneumothorax, early diagnosis, early therapy and treatment for the fatal wound during diagnosis should be greatly emphasized. At the same time we should pay attention to the diagnosis of late-onset trauma hemopneumothorax and diaphragmatic hernia to avoid missed diagnosis.