创伤性连枷胸40例临床分析

Clinical analysis of traumatic flail chest 40 cases

目的探讨创伤性连枷胸的临床特点及抢救治疗体会。方法对救治的40例创伤性连枷胸病例进行回顾性分析。结果本组病例除1例因肺脏损伤严重合并感染,入院1周内死于ARDS外,39例治愈,住院时间7～28d,平均18.7d。结论连枷胸临床抢救注重固定的同时,积极治疗肺挫伤,可防止呼吸窘迫综合征(ARDS)的发生,提高救治成功率。

Objective To explore the rescue experience and clinical features of the traumatic flail chest.Methods The data of 40 patients with traumatic flail chest were retrospectively analyzed.Results The patients except for 1 patient with infection due to severe lung injury died ARDS of outside the hospital within a week,39 patients were cured,length of stay 7~28d,an average of 18.7d.Conclusions Flail chest,while paying attention to fixtion,active treatment of pulmonary contusion,can prevent respiratory distress syndrome（ARDS） incidence and improve the treatment success rate.