摘要
目的总结胸骨骨折的诊断与治疗经验。方法回顾性分析20年来我院收治的22例胸骨骨折患者资料,分析其诊断和治疗过程。结果本组死亡2例,1例为合并右心室破裂、失血性休克,术后死于多器官功能衰竭;1例严重车祸致胸骨骨折并发广泛肺挫伤,死于呼吸衰竭。其余20例均痊愈出院。结论胸骨骨折是危及患者生命的严重外伤,及早诊断胸骨骨折并判断是否合并胸腹腔脏器损伤,正确处理,是提高治愈率的关键。
Objective To summarize experiences of surgical treatment of sternal fracture. Methods The records of 22 victims of sternal fracture in the past 20 years were retrospectively reviewed. The data of the cases including the clinical types, anatomy, treatments and outcome, were analyzed. Results Two patients died, one of whom died from multiple organ dysfunction syndrome complicated by right atrium rupture and hemorrhagic shock, and the other one died from respiratory failure complicated by pulmonary contusion and sternal fracture. Twenty patients healed up and discharged. Conclusion The sternal fracture is a severe life-threatening injury, and attention should be paid to complicated wound in chest or abdomen. Early diagnosis and correct evaluation are the key for better prognosis.
出处
《创伤外科杂志》
2009年第3期209-210,共2页
Journal of Traumatic Surgery
关键词
胸骨骨折
创伤
诊断
治疗
sternal fracture
trauma
diagnosis
treatment