闭合性严重胸外伤诊断及治疗方式选择

Diagnosis and treatment options of severe chest blunt trauma

目的探讨闭合性严重胸外伤的临床特点和诊治方法。方法总结1990年10月至2010年10月收治的273例闭合性严重胸外伤患者,对其诊断与治疗进行回顾性分析。结果本组治愈255例,死亡18例。其中死于急性呼吸窘迫综合征(ARDS)5例,创伤失血性休克5例,张力性气胸1例,死于多发伤、全身感染等多系统功能衰竭7例。结论闭合性严重胸外伤患者早期诊断,积极救治和及时处理合并伤,是降低死亡率和救治成功的关键。

Objective To investigate the diagnosis and treatment of severe chest blunt trauma.Methods From October 1990 to October 2010,273 patients with severe chest blunt trauma were admitted in our hospital.The diagnosis and treatment were retrospectively analyzed.Results 255 cases were cured,18 case were dead.Among dead cases,there were 5 cases died of acute respiratory distress syndrome（ARDS）,5 cases of traumatic hemorrhagic shock,1 case of tension pneumothorax and 7 cases of multiple organ dysfunction syndrome（MODS）.Conclusion for the patients of severe chest blunt trauma,early diagnosis,active rescue and proper treating omplicating injuries are the keys to reduce the mortality successful rescue.