摘要
回顾性分析我院2003年8月至2010年11月收治的31例迟发性血胸患者的临床资料。全组均有胸痛,有不同程度呼吸困难者14例(45%),心率增快19例(61%),发热16例(52%),七腹痛3例(10%),休克1例(3%)。血胸量均为中等以上,其中合并气胸9例。21例行胸腔闭式引流术,4例行胸腔穿刺抽液,5例行泼尼松口服保守治疗,1例合并膈疝者行开胸积血清除加膈肌修补术。全组均痊愈出院。肋骨骨折于胸部外伤48h~9d行x线胸片检查,密切观察患者胸部体征、呼吸、心率、体温等变化,是诊断和治疗迟发性血胸的关键。
The clinical data of 31 patients with delayed hemothorax between August 2003 to November 2010 was retrospectively analyzed. All patients had chest pain, difficult breathing in 14 cases (45%) , heart rate increased in 19 patients (61%), fever in 16 cases (52%) , abdomen pain in 3 patients (10%), and shock in 1 case (3%) . Haemothorax was medium to massive and combined with pneumothorax in 9 cases. Twenty one patients received closed chest drainage, 4 recieved chest puncture to eliminate fluid, 5 were treated conservatively, and 1 had surgery for diaphragmatic hernia and hemorrhage. All patients recovered eventually. The key of diagnosis and treatment for delayed hemothorax is to take chest X-ray for patients with rib fractures in 2 to 9 days after chest trauma, and carefully observing the changes of chest signs, breathing, heart rate and body temperature.
出处
《中华全科医师杂志》
2011年第10期742-743,共2页
Chinese Journal of General Practitioners
关键词
肋骨骨折
血胸
Rib fractures
Hemothorax