胸部创伤118例临床分析

目的探讨胸部创伤的诊断与治疗。方法根据胸部创伤的位置及临床表现,利用放射线、CT、超声、胸腔穿刺或腹腔穿刺等检查方法及时发现胸腔内脏器的损伤情况,根据不同情况行单侧或双侧胸腔闭式引流术、剖胸探查术、剖腹探查术、心脏修补术等急救措施。结果全组治愈110例,死亡8例,死亡率6.7%。结论正确的诊断和积极的对症治疗是提高抢救胸部严重创伤成功率的关键。

Objective To investigate the diagnosis and treatment of chest trauma. Methods According to the location and clinical characterics of chest trauma, radiation, CT, ultrasound, chest or abdominal puncture needle and other methods were used to detect viscerars chest injuries, according to different situations unilateral or bilateral line closed thoracic drainage, duct exploration thoracotomy, laparotomy, heart repair and other first aid measures were carded out. Results 110 patients cured, 8 patients died, the mortality rate was 6.7%. Conclusion The correct diagnosis and treatment of positive symptoms is the key to improve the success rate of emergency treatment of serious chest trauma.